Provider Demographics
NPI:1568102705
Name:DAVIS, JAMES BRIAN (DPM)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:BRIAN
Last Name:DAVIS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 CARNABY DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-1062
Mailing Address - Country:US
Mailing Address - Phone:317-447-7533
Mailing Address - Fax:
Practice Address - Street 1:6601 CENTERVILLE BUSINESS PKWY STE 117
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-2690
Practice Address - Country:US
Practice Address - Phone:973-296-9806
Practice Address - Fax:937-296-9805
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program