DR. WILLIAM WILDER DAVIS M.D. NPI 1356769004

NPI Information

  • NPI: 1356769004
  • Provider Name: DR. WILLIAM WILDER DAVIS, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3264 N EVERGREEN DR NE
    GRAND RAPIDS, MI
    ZIP 49525
  • Phone: (616) 363-7272

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NPI Details

DR. William Wilder Davis, M.D. is a diagnostic radiology radiology in Grand Rapids, MI with 12 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. William Wilder Davis, M.D. NPI is 1356769004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

3264 N EVERGREEN DR NE
GRAND RAPIDS, MI
ZIP 49525-746
Phone: (616) 363-7272
Fax: (616) 361-5828

The NPI 1356769004 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of arm without contrast (HCPCS:73200)
  • Mri scan of leg before and after contrast (HCPCS:73720)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • 3d radiographic procedure (HCPCS:76376)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ct scan of leg with contrast material (HCPCS:73701)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of arm without contrast (HCPCS:73200)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • 3d radiographic procedure with computerized image postprocessing (HCPCS:76377)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray series of abdomen with single x-ray of chest (HCPCS:74022)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Mri scan of leg joint before and after contrast (HCPCS:73723)

The enumeration date for this NPI number is 3/31/2014 and was last updated on 7/29/2020.

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
12085R0202XRadiologyDiagnostic Radiology4301105368MICHIGANYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

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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