What is Glen Davis's NPI number?

Glen Davis's National Provider Identifier (NPI) is 1528058344, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Glen Davis's specialty?

Glen Davis is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).

Where is Glen Davis located?

Glen Davis's practice location on file with NPPES is 211 N Eddy St, South Bend, IN 46617-2808.

What is Glen Davis's phone number?

The practice phone number listed in the NPPES registry for Glen Davis is (574) 233-7337.

Is Glen Davis's NPI active?

Yes — Glen Davis's NPI (1528058344) is active in the NPPES registry as of the last update on 2008-06-06.

IndividualActive

Glen Davis, MD

NPI 1528058344 · Pediatrics Physician · South Bend, IN

Glen Davis, MD is a Pediatrics Physician provider in South Bend, IN (NPI 1528058344).

Provider details

NPI number: 1528058344
Entity type: Individual
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 01053925A (IN)

Specialties & taxonomies

Pediatrics PhysicianPrimary208000000XLicense 01053925A (IN)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

211 N Eddy St

South Bend, IN 46617-2808

Phone: (574) 233-7337

Fax: (574) 239-1561

Street-level locationGet directions

Mailing address