BRADLEY DAVIS – Emergency Medicine Physician, NPI 1114986734

BRADLEY DAVIS is a healthcare provider. based in Royal oak, Michigan. specializing in EMERGENCY MEDICINE. They hold a License No. 4301078282 (MI). The NPI Number for BRADLEY DAVIS is 1114986734

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY DAVIS
NPI
1114986734
Phone
Not provided
Address
3601 W 13 MILE RD
Enumeration Date
22 March 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
7344583300
Graduation Year
2001 (25 years ago)
PAC ID
3577523893
Group Practice PAC ID
2365821634
Professional Enrollment ID
I20041012000826
Address ID
MI481354001GA6245XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

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Provider Addresses for BRADLEY DAVIS

  • Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States

    400-FSC/PCS

    ROYAL OAK, MI 480736712

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-10-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041012000826IEmergency MedicineMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making107101$0
99285Emergency department visit with high level of medical decision making9896$0
99291Critical care, first 30-74 minutes3634$0
99283Emergency department visit with low level of medical decision making2625$0
View full utilization report →

Insurance plans in this area (ZIP 48073)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365821634View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineFL
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency Medicine, Family PracticeMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What number should I use to identify BRADLEY DAVIS for billing?
Administrative and clinical systems typically use NPI 1114986734 for BRADLEY DAVIS.
Is BRADLEY DAVIS's NPI status active today?
Active status means BRADLEY DAVIS's NPI record is not deactivated in the public file.
Which specialty label fits BRADLEY DAVIS?
NPPES ties BRADLEY DAVIS to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BRADLEY DAVIS?
BRADLEY DAVIS is associated with Royal Oak, Michigan in the same public data insurers reference.
Why is information missing for BRADLEY DAVIS?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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