DR. ROBERT CULLEN DAVIDSON MD NPI 1184607806

NPI Information

NPI: 1184607806
Provider Name: DR. ROBERT CULLEN DAVIDSON, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
2900 BRADFORD ST NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 885-5000
Get Directions

DR. Robert Cullen Davidson, MD is a cardiovascular disease internal medicine in Grand Rapids, MI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Robert Cullen Davidson, MD NPI is 1184607806. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2900 BRADFORD ST NE
GRAND RAPIDS, MI
ZIP 49525-427
Phone: (616) 885-5000
Fax: (616) 885-5020

The enumeration date for this NPI number is 11/28/2005 and was last updated on 3/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	4301034558	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4709460	MEDICAID	MICHIGAN
2	060053856	OTHER	MICHIGAN	RAILROAD MEDICARE
3	OD17643014	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
4	A74760	MEDICARE UPIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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