DR. BENJAMIN BRAND DAVIDSON (MD) – Family Medicine Physician, NPI 1215341458

DR. BENJAMIN BRAND DAVIDSON (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301105221 (MI). The NPI Number for DR. BENJAMIN BRAND DAVIDSON (MD) is 1215341458

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. BENJAMIN BRAND DAVIDSON (MD)
NPI
1215341458
Phone
Not provided
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
16 June 2014
Last Update Date
22 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6162678700
Graduation Year
2003 (23 years ago)
PAC ID
3678884244
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20170707000162
Address ID
MI494311906LU5XXXXDRXX301

Contacts

Secure Messaging
bdavidson103623@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

4,418 FAMILY PRACTICE in MI

Provider Addresses for DR. BENJAMIN BRAND DAVIDSON (MD)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 25 MICHIGAN ST NE STE 5100

    GRAND RAPIDS, MI 495032572

    Phone: (616) 267-0800

    Type: Location

  • 275 MICHIGAN ST NE

    GRAND RAPIDS, MI 495032531

    Phone: (616) 267-0800

    Fax: (616) 267-0801

    Type: Location

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: 2017-07-07

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
I20170707000162IFamily PracticeMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14664$0
99239Hospital discharge day management, more than 30 minutes7167$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5332$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2828$0
99291Critical care, first 30-74 minutes2012$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What unique ID ties claims to DR. BENJAMIN BRAND DAVIDSON (MD)?
NPI 1215341458 is assigned to DR. BENJAMIN BRAND DAVIDSON (MD) under the national enumeration system.
Is DR. BENJAMIN BRAND DAVIDSON (MD) currently active in the NPI registry?
CMS-published data lists DR. BENJAMIN BRAND DAVIDSON (MD) as an active registrant.
What field does DR. BENJAMIN BRAND DAVIDSON (MD) work in?
You can think of DR. BENJAMIN BRAND DAVIDSON (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. BENJAMIN BRAND DAVIDSON (MD)?
We surface Grand Rapids, Michigan for DR. BENJAMIN BRAND DAVIDSON (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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