Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley V Davitt, MD

Individual provider Ophthalmology Physician · NPI 1801818653

Bradley V Davitt, MD is an Ophthalmology in Saint Louis, Missouri. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1991, 35 years ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
35
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1225 S Grand Blvd
Saint Louis, MO 63104-1016
Phone: (314) 977-5200
Fax: (314) 977-3495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 102555 (MO)

Record details

NPI number1801818653
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 24, 2006
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020
Mailing address3691 Rutger Ave, Provider Enrollment, St Louis, MO 63110

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1991 (35 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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