Active NPI
Benjamin Ryan Davis, CRNA, RN
- Certified Registered Nurse Anesthetist
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 147150
- Practice address
- 250 Park St
Bowling Green, KY 42101-1795 - Phone
- (270) 745-1000
- NPI assigned
- Aug 19, 2021
- Last updated
- Feb 8, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0000228440 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 147150 | KY | Primary |
Addresses
Primary practice location
250 Park St
Bowling Green, KY 42101-1795
Mailing address
551 Collier LN
Gallatin, TN 37066-8262
Phone (615) 478-5141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 Park St
Bowling Green, KY 42101-1760
Phone (270) 745-1111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000228440 | TN | MD | Registered Nurse |
| 147150 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Health Corporation, Inc. | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Current | Accepting new patients |
Locations
350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Med Center Health Neurology
- Neurology Physician
- Bowling Green, KY
- NPI 1881109304
-
dba Med Center Health Plastic & Reconstructive Surgery
- Plastic and Reconstructive Surgery Physician
- Bowling Green, KY
- NPI 1104470699
-
dba Infectious Disease and Travel Medicine Specialists
- Infectious Disease Physician
- Bowling Green, KY
- NPI 1457779795
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Medical Center
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1043293608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1043986961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 COLLIER LN",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370668262",
"telephone_number": "615-478-5141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PARK ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011795",
"telephone_number": "270-745-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BENJAMIN",
"middle_name": "RYAN",
"credential": "CRNA, RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-19",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "0000228440",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "147150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.