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Active NPI 1790747954 Individual Practitioner Male Practitioner

Dr. Tad Leon Davis , MD

Specialist • Brewster, WA

Professional Overview & Biography Verified Profile Summary

Dr. Tad Davis, MD is a registered healthcare professional specializing in Specialist in Brewster, WA. Practice services are available at 507 HOSPITAL WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

507 Hospital Way

Brewster, WA 988120507

Telephone 5096892517
Fax 5096892086
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Brewster, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Brewster, WA (2751 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MD00016562

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1349703 (WA)

Practice Associates & Co-Workers

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

9 Associated Practitioners
Allan Huffman , MD07, 05

Emergency Medicine

NPI 1053310086
Dr. Kenneth Kingdon , MD

Emergency Medicine

NPI 1114067196

Doctor of Medicine (M.D.)

NPI 1184303430

Physical Therapist, Doctor of Physical Therapy

Jordan Smith , OT

Occupational Therapist

NPI 1245107655

Occupational Therapist

NPI 1285696427

Certified Registered Nurse Anesthetist

Janice May , CRNA

Nurse Anesthetist, Certified Registered

NPI 1437111663

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 507 HOSPITAL WAY, BREWSTER, WA 988120507 (Tel: 5096892517)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 577, BREWSTER, WA 988120577 (Tel: 5096892517)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TAD DAVIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #MD00016562 in WA)

🟢
Initial NPI Registration & Enumeration April 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790747954
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

Po Box 577

Brewster, WA 988120577

Phone: 5096892517

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.