BRADLEY DAVIS (DO) – Family Medicine Physician, NPI 1790197101

BRADLEY DAVIS (DO) is a healthcare provider. based in Berkeley heights, New Jersey. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 25MB10217800 (NJ). The NPI Number for BRADLEY DAVIS (DO) is 1790197101

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY DAVIS (DO)
NPI
1790197101
Phone
(908) 273-4300
Address
1 DIAMOND HILL RD
Enumeration Date
20 May 2014
Last Update Date
24 May 2023

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
9082734300
Graduation Year
2013 (13 years ago)
PAC ID
0042570772
Group Practice PAC ID
5395642276
Professional Enrollment ID
I20180129000675
Address ID
NJ079222104BE1XXXXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,515 FAMILY PRACTICE in NJ

Provider Addresses for BRADLEY DAVIS (DO)

  • 1 DIAMOND HILL RD

    BERKELEY HEIGHTS, NJ 079222104

    Phone: (908) 273-4300

    Type: Mailing

  • 723 HARBOR PL

    BRICK, NJ 087244764

    Phone: (540) 769-7857

    Type: Mailing

  • 7600 RIVER RD

    NORTH BERGEN, NJ 070476217

    Phone: (201) 854-5000

    Type: Location

  • 539 US HIGHWAY 9

    LANOKA HARBOR, NJ 087342211

    Phone: (609) 549-6266

    Fax: (609) 549-5600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-05-12 • Largest payer in this snapshot: PFIZER INC. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$14
View all Open Payments →|Open Payments Risk Radar →

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: 2018-01-29

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
I20180129000675IFamily PracticeNJTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes192183$0
87804Detection test by immunoassay with direct visual observation for influenza virus17784$0
99214Established patient office or other outpatient visit, 30-39 minutes132127$0
99203New patient office or other outpatient visit, 30-44 minutes111111$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)9481$0
View full utilization report →

Insurance plans in this area (ZIP 07922)

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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: 5395642276View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Where can patients find BRADLEY DAVIS (DO)'s NPI?
You can confirm BRADLEY DAVIS (DO) with NPI 1790197101; it appears in the national provider directory.
Does this profile mean BRADLEY DAVIS (DO) is currently active?
Yes — BRADLEY DAVIS (DO) appears active in the national provider directory.
What field does BRADLEY DAVIS (DO) work in?
You can think of BRADLEY DAVIS (DO) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does BRADLEY DAVIS (DO) practice in New Jersey?
You will see Berkeley Heights, New Jersey on file for BRADLEY DAVIS (DO) alongside any extra practice locations.
Is BRADLEY DAVIS (DO) a real provider?
This page reflects official NPPES data for NPI 1790197101. Always confirm identity and privileges with the practice and licensing boards.

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