BRYAN DAVIDSON – Family Nurse Practitioner, NPI 1043028046

BRYAN DAVIDSON is a healthcare provider. based in Cleveland, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. 235998 (TN). The NPI Number for BRYAN DAVIDSON is 1043028046

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN DAVIDSON
NPI
1043028046
Phone
Not provided
Address
PO BOX 932958
Enumeration Date
21 December 2024
Last Update Date
14 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2707833992
Graduation Year
2024 (2 years ago)
PAC ID
1850820341
Group Practice PAC ID
6002887510
Professional Enrollment ID
I20250619001827
Address ID
KY421046514BO2945XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:1State licenses:2Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for BRYAN DAVIDSON

  • PO BOX 932958

    CLEVELAND, OH 441930028

    Phone:

    Type: Mailing

  • 5544 OLD HICKORY BLVD

    HERMITAGE, TN 370762576

    Phone: (615) 515-0029

    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: 2025-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20250129000750INurse PractitionerTNTBD
I20250619001827INurse PractitionerKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44193)

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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: 6002887510View full group profile

Reviews

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Frequently asked questions

What is BRYAN DAVIDSON's NPI number?
BRYAN DAVIDSON's NPI is 1043028046 — the number used across U.S. healthcare to identify this provider.
Is there an active status for BRYAN DAVIDSON?
For scheduling context, BRYAN DAVIDSON is shown as active in the registry.
What area of care is associated with BRYAN DAVIDSON?
BRYAN DAVIDSON's record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with BRYAN DAVIDSON?
Directory geography for BRYAN DAVIDSON centers on Cleveland, Ohio.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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