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

Dr. Bolivia Davis, MD

Individual provider Neuroradiology Physician · NPI 1073584413

Dr. Bolivia Davis, MD is a Diagnostic Radiology in LA Plata, Maryland. Graduated from Drexel University College of Medicine in 1987, 39 years ago. Practices with Intellirad Imaging LLC, a 60-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
39
Trained at
Drexel University College of Medicine
Licensed in
MD
In the registry since
2006
Specialties on file
2
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

5 Garrett Ave Dept OF Radiology
LA Plata, MD 20646-5960
Phone: (301) 609-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence D0043096 (MD)
Neuroradiology Physician Taxonomy 2085N0700X · Licence D0043096 (MD)

Record details

NPI number1073584413
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 1, 2006
Last updated in NPPESApril 24, 2019
Mailing address22 S Greene St, Dept Of Radiology, Baltimore, MD 21201-1544

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Intellirad Imaging Llc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare