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

Dr. Glen A Davis, MD

Individual provider Pediatrics Physician · NPI 1528058344

Dr. Glen A Davis, MD is a Pediatrics Physician in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

211 N Eddy St
South Bend, IN 46617-2808
Phone: (574) 233-7337
Fax: (574) 239-1561
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 01053925A (IN)

Record details

NPI number1528058344
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESJune 6, 2008

Other providers in South Bend