Organization Active NPI

Bill D. Davis MD PA

  • Specialist
  • New Braunfels, TX
National Provider Identifier
1063693455
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BILL D. DAVIS MD PA
Practice address
224 Hunters VLG
New Braunfels, TX 78132-4742
Phone
(830) 606-9142
NPI assigned
Nov 14, 2007
Last updated
Jan 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bill Delbert Davis Jr., M.D.NPI 1154352557
Title
Owner
Phone
(830) 606-9142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

224 Hunters VLG
New Braunfels, TX 78132-4742

Mailing address

224 Hunters VLG
New Braunfels, TX 78132-4742

Other identifiers 1

IdentifierTypeStateIssuer
180807301MedicaidTX

National Provider Directory

National Provider Directory

Locations

19B Gruene Park Dr
New Braunfels, TX 78130
Phone (830) 606-9142

224 Hunters Vlg
New Braunfels, TX 78132
Phone (830) 606-9142

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1063693455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HUNTERS VLG",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 HUNTERS VLG",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324742",
            "telephone_number": "830-606-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILL D. DAVIS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "DELBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-606-9142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180807301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.