DR. CHARLES BRAXTON DAVIS M.D. NPI 1568959120

NPI Information

  • NPI: 1568959120
  • Provider Name: DR. CHARLES BRAXTON DAVIS, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7595 ANAGRAM DR
    EDEN PRAIRIE, MN
    ZIP 55344
  • Phone: (612) 573-2200

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NPI Details

DR. Charles Braxton Davis, M.D. is a diagnostic radiology radiology in Eden Prairie, MN with 7 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Charles Braxton Davis, M.D. NPI is 1568959120. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:2018

The provider's business location address is:

7595 ANAGRAM DR
EDEN PRAIRIE, MN
ZIP 55344-399
Phone: (612) 573-2200
Fax: (612) 573-2274

The NPI 1568959120 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 enumeration date for this NPI number is 4/19/2018 and was last updated on 11/11/2025.

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 RadiologyA184390CALIFORNIAYes
22085R0202XRadiologyDiagnostic Radiology036.177115ILLINOISNo

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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