Active NPI
Labronz C Davis, MD
- Family Medicine Physician
- Columbus, OH
National Provider Identifier
1003857749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35075818
- Practice address
- 2872 W Broad St
Columbus, OH 43204-2645 - Phone
- (614) 279-9905
- Fax
- (614) 279-0213
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35075818 | OH | Primary |
Addresses
Primary practice location
2872 W Broad St
Columbus, OH 43204-2645
Mailing address
2872 W Broad St
Columbus, OH 43204-2645
Phone (614) 279-9905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2138154 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | labronz.davismd.p50@direct.ahni.nextgenshare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Toledo College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2872 W Broad St
Columbus, OH 43204-2645
Phone (614) 279-9905
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35075818 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Health Network of Ohio, LLC | Family Medicine | Current | Accepting new patients |
| American Health Network of Ohio, LLC | Current | Accepting new patients | |
| American Health Network of Ohio, LLC | Family Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| American Health Network of Ohio, LLC | Family Medicine | Past | Accepting new patients |
Locations
2872 W Broad St
Columbus, OH 43204
Phone (614) 274-9007
3180 E Broad St
Columbus, OH 43209
Phone (614) 231-2729
2500 Corporate Exchange Dr
Ste 100
Columbus, OH 43231
Phone (614) 794-4500
Interoperability endpoints
- ldavis210981@direct.optum.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Columbus, OH
- NPI 1386675544
-
- Family Medicine Physician
- Columbus, OH
- NPI 1255579132
-
- Radiology Clinic/Center
- Columbus, OH
- NPI 1548142987
-
- Family Medicine Physician
- Hilliard, OH
- NPI 1699706879
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1003857749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2872 W BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432042645",
"telephone_number": "614-279-9905",
"fax_number": "614-279-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2872 W BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432042645",
"telephone_number": "614-279-9905",
"fax_number": "614-279-0213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LABRONZ",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35075818",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2138154",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "labronz.davismd.p50@direct.ahni.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "2872 W Broad St",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432042645",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.