Individual provider Active NPI

Davis Willmann

  • Emergency Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1083097786
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R5823 Issued in TX
Practice address
6451 Brentwood Stair Rd Ste 200
Fort Worth, TX 76112-3200
Phone
(817) 496-9700
NPI assigned
Jun 30, 2015
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MT208855 PA
Emergency Medicine Physician 207P00000X R5823 TX Primary

Addresses

Primary practice location

6451 Brentwood Stair Rd Ste 200
Fort Worth, TX 76112-3200

Mailing address

6451 Brentwood Stair Rd Ste 200
Fort Worth, TX 76112-3200
Phone (817) 496-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180803000783 TX Practitioner - Emergency Medicine 4688955032 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical School at Houston, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Physician Resources, LLPGroup PAC ID 7012161375, 91 clinicians
Emergency Associates of Central Texas PAGroup PAC ID 6800147216, 32 clinicians

Practice addresses (Care Compare)

1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 947-8181

850 W Central Texas Expy
Harker Heights, TX 76548-1890
Phone (254) 690-0900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT208855PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Emergency Medicine Group, LLP Emergency Medicine CurrentSince Aug 31, 2019 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Emergency Medicine CurrentSince Sep 7, 2018 Accepting new patients
Emergency Associates of Central Texas PA Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 7, 2018 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
Pediatric Emergency Medicine Group LLP Emergency Medicine CurrentSince Nov 30, 2019 Accepting new patients
Texas Physician Resources, LLP Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients

Locations

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

3500 Gaston Ave
Dallas, TX 75246

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

6451 Brentwood Stair Rd
Ste 200
Ft Worth, TX 76112
Phone (817) 496-9700

1301 Montgomery Rd
Graham, TX 76450
Phone (940) 521-5360

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

Interoperability endpoints

  • Direct secure messaging: dwillmann864001@ahs.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1083097786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 BRENTWOOD STAIR RD STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761123200",
            "telephone_number": "817-496-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 BRENTWOOD STAIR RD STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761123200",
            "telephone_number": "817-496-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLMANN",
        "first_name": "DAVIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT208855",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R5823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.