IndividualActive
Bradley Davitt, MD
NPI 1801818653 · Ophthalmology Physician · Saint Louis, MO
Provider details
- NPI number
- 1801818653
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 102555 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1225 S Grand Blvd
Saint Louis, MO 63104-1016
Phone: (314) 977-5200
Fax: (314) 977-3495
Approximate (ZIP-level) locationGet directions
Mailing address
3691 Rutger Ave
St Louis, MO 63110
Registry dates
- Enumerated
- 2006-07-24
- Last updated
- 2020-11-04
- Certified
- 2020-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.