James Davidson

Individual provider Medical Physician Assistant · NPI 1447988878

James Davidson is a Physician Assistant in Burlington, Wyoming. Qualified in 2024, 2 years ago. Practices with Banner Health Physicians West LLC, a 99-clinician group and accepts Medicare assignment.

Years since qualifying: 2
In the registry since: 2022

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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 127
Burlington, WY 82411-0127
Phone: (307) 921-8922

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

Specialties & licences

Medical Physician Assistant (primary)	Taxonomy 363AM0700X

Record details

NPI number	1447988878
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	No
NPI enumerated	August 12, 2022
Last updated in NPPES	August 2, 2024
Certification date	August 2, 2024
Mailing address	Po Box 127, Burlington, WY 82411-0127

Medicare enrollment

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

Medicare specialty	PHYSICIAN ASSISTANT
Medical school	OTHER
Graduated	2024 (2 years in practice)
Group practice	Banner Health Physicians West Llc — 99 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Practice locations	3 on file with Medicare