NPI 1447105119

Bradley a Davis

Practitioner Certified Registered Nurse Anesthetist South Bend, IN

Practice location

Address: 615 N Michigan St, South Bend, IN 46601-1033
Phone: (574) 647-1000
Mailing address: 2020 Yorktowne Dr, Valparaiso, IN 46383-3926

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 28246888A (IN)

Other Nurse Anesthetist, Certified Registered providers in Indiana →

Registry record

NPI: 1447105119
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Feb 2026
Record last updated: 27 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.