CHARLES W DAVIS II MD LLC NPI 1164652970

NPI Information

NPI: 1164652970
Provider Name: CHARLES W DAVIS II MD LLC
Classification: Orthopaedic Surgery - 207XS0117X
Specialization: Orthopaedic Surgery of the Spine
Entity Type: Organization
Address: 331 OAK MANOR DR
SUITE 201
GLEN BURNIE, MD
ZIP 21061
Phone: (410) 625-5050

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NPI Details

CHARLES W DAVIS II MD LLC is an orthopaedic surgery of the spine orthopaedic surgery in Glen Burnie, MD. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. CHARLES W DAVIS II MD LLC NPI is 1164652970. The provider is registered as an organization entity type.

The provider's business location address is:

331 OAK MANOR DR
SUITE 201
GLEN BURNIE, MD
ZIP 21061-548
Phone: (410) 625-5050
Fax: (410) 766-1404

The provider's authorized official is Charles W Davis .
The authorized official title is Sole Manager and has the following contact phone number (410) 335-0008.

The enumeration date for this NPI number is 7/15/2009 and was last updated on 11/4/2013.

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	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	207XS0117X	Orthopaedic Surgery	Orthopaedic Surgery of the Spine			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	Q647	OTHER	DISTRICT OF COLUMBIA	CAREFIRST
2	417933100	OTHER	MARYLAND	MEDICAL ASSISTANCE
3	DCK7CW	OTHER	MARYLAND	CAREFIRST
4	159276	OTHER	MARYLAND	MEDICARE PART B
5	DP4271	OTHER	GEORGIA	RAILROAD MEDICARE GROUP PTAN

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: 11/21/2025

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