Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528058344 Individual Practitioner Male Practitioner

Dr. Glen A Davis , MD

Pediatrics • South Bend, IN

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Glen Davis, MD is a registered healthcare professional specializing in Pediatrics in South Bend, IN. Official NPI practice address is registered at 211 N EDDY ST.

Practice Location & Contact Primary Location

Practice Address

211 N Eddy St

South Bend, IN 466172808

Telephone 5742337337
Fax 5742391561
Associated Practice Facility / Clinic
🏢 The South Bend Clinic Llp Facility NPI 1538257167

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in South Bend, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.3 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
27 Specialists

Practicing in South Bend, IN (1179 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 01053925A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1194715565

Doctor of Medicine (M.D.)

NPI 1285070284

Doctor of Osteopathic Medicine (D.O.)

NPI 1497902571

Doctor of Medicine (M.D.)

NPI 1508856162

Doctor of Medicine (M.D.)

NPI 1538159009

Doctor of Medicine (M.D.)

NPI 1669462131

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 06, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2008

Registered at 211 N EDDY ST, SOUTH BEND, IN 466172808 (Tel: 5742337337)

📍
Updated Business Mailing Address June 06, 2008

Registered at 211 N EDDY ST, SOUTH BEND, IN 466172808 (Tel: 5742337337)

👤
Provider Name / Credentials Updated June 06, 2008

Recorded as GLEN DAVIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2008

Pediatrics (License #01053925A in IN)

🟢
Initial NPI Registration & Enumeration October 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Glen Davis. Be the first to share your experience!

Sign in to leave a review for Dr. Glen Davis

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1528058344
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2005
Last Update: June 06, 2008
Sole Proprietor: No

Mailing Address

211 N Eddy St

South Bend, IN 466172808

Phone: 5742337337

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.