Mr. Bryan Anthony Davis, PA

Individual provider Physician Assistant · NPI 1316928682

Mr. Bryan Anthony Davis, PA is a Physician Assistant in Vienna, Missouri. Qualified in 2000, 26 years ago. Practices with Pcrmc Medical Group Inc, a 114-clinician group and accepts Medicare assignment. Licensed in Missouri and Oklahoma.

Years since qualifying: 26
Licensed in: MO, OK
In the registry since: 2005
Specialties on file: 2

What do these letters mean?

PA — Physician Assistant: A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

606 Highway 63 S Ste A
Vienna, MO 65582-8101
Phone: (573) 422-3636
Fax: (573) 202-2433

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

Specialties & licences

Physician Assistant (primary)	Taxonomy 363A00000X · Licence 2006006970 (MO)
Physician Assistant	Taxonomy 363A00000X · Licence 1300 (OK)

Record details

NPI number	1316928682
Entity type	Individual (Type 1)
Gender	Male
Credentials	PA
Sole proprietor	No
NPI enumerated	November 14, 2005
Last updated in NPPES	July 14, 2026
Certification date	July 14, 2026
Mailing address	606 Highway 63 S, Vienna, MO 65582-8101

Medicare enrollment

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

Medicare specialty	PHYSICIAN ASSISTANT
Medical school	OTHER
Graduated	2000 (26 years in practice)
Group practice	Pcrmc Medical Group Inc — 114 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount