Glen A. Davis, MD
Pediatrics Physician · South Bend, IN
Glen A. Davis, MD is a pediatrics physician with a practice address in South Bend, Indiana, and NPI 1528058344, issued on Oct 24, 2005. Check the license (Indiana 01053925A, as entered in NPPES) on the Medical Licensing Board of Indiana; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Glen A. Davis
- Credential
- MD
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 01053925A IN
Self-reported in NPPES; status is on the state search - Practice location
- 211 N Eddy St, South Bend, IN 46617
- Phone
- (574) 233-7337
- Enumerated
- Oct 24, 2005
- Record last updated
- Jun 6, 2008 (not updated in 18 years: call before relying on the address or phone)
- Fax
- (574) 239-1561
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 1,136 in Indiana → Look up another NPI →
Also registered at 211 N Eddy St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Glen A. Davis in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Licensing Board of Indiana
Search for license 01053925ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Glen A. Davis among 1,136 pediatrics physician records in Indiana
Glen A. Davis, MD is one of 1,136 pediatrics physician records with a practice address in Indiana. 43% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 85% newer
- In a Medicare fileNo · 43% of these records are
- In the CMS Doctors and Clinicians fileNo · 12% of these records are
- Record last updated2008 · 42% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatrics Physician providers in Indiana
There are 1,136 pediatrics physician records in Indiana. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,136 in Indiana → Every provider in South Bend → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Daniel Brier, MDSouth Bend, IN 466171538159009
- Timothy Durham, MDSouth Bend, IN 466171811987613
- Javier GalanSouth Bend, IN 466171760923023
- George Horvath, MDSouth Bend, IN 466171841280229
- Saira Rahman, MDSouth Bend, IN 466171497902571
- John Rice, MDSouth Bend, IN 466171669462131
- Jan Sanders, MDSouth Bend, IN 466171508856162
- Thomas Soisson, MDSouth Bend, IN 466171760473896
Common questions
What is Glen A. Davis, MD's NPI number?
Glen A. Davis, MD's National Provider Identifier (NPI) is 1528058344, issued on Oct 24, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Glen A. Davis, MD located?
The NPPES record lists a practice address at 211 N Eddy St, South Bend, IN, 46617. Phone: (574) 233-7337. Providers update this record themselves, so call before visiting.
How can I verify Glen A. Davis, MD's license?
NPPES lists Indiana license number 01053925A, as entered by the provider. Search the Medical Licensing Board of Indiana at https://www.in.gov/pla/professions/physicians-home/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.