MEDICARE: DR. MICHAEL ALAN DAVIS D.O

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0102205252	VA

General Provider Information

NPI Number	:	1578940987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ALAN DAVIS D.O

Provider Business Mailing Address
First Line	:	2000 HEALTH PARK DR FL HP2
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-4692
Country	:	US
Telephone Number	:	615-373-7600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1080 FIRST COLONIAL RD STE 200
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-2406
Country	:	US
Telephone Number	:	757-395-6630
Fax Number	:	757-507-9069

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2015
Last Update Date	:	04/16/2026

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