Individual provider Active NPI

Henry W David, MD

  • Emergency Medicine Physician
  • Columbia, MO
National Provider Identifier
1114975943
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P0032 Issued in TX
Practice address
One Hospital Dr
Columbia, MO 65212-0001
Phone
(573) 882-6003
Fax
(573) 884-5410
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 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 2004036764 MO
Emergency Medicine Physician 207P00000X P0032 TX Primary

Addresses

Primary practice location

One Hospital Dr
Columbia, MO 65212-0001

Mailing address

PO Box 7687
Columbia, MO 65205-7687
Phone (573) 882-2259

Other identifiers 3

IdentifierTypeStateIssuer
111238OtherMOBLUE SHIELD/BLUE CROSS
207190406MedicaidMO
701436OtherMOHEALTHLINK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050608001060 MO Practitioner - Emergency Medicine 0345216131 Reassigns benefits to 1 organization
I20110915000855 TX Practitioner - Emergency Medicine 0345216131 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Missouri, Kansas City, School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians of Memphis LLCGroup PAC ID 5395643209, 92 clinicians

Practice addresses (Care Compare)

1600 E Broadway
Boone Hospital Center
Columbia, MO 65201-5844
Phone (573) 875-4545

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004036764MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Feb 15, 2015 Accepting new patients
Emergency Associates of Central Texas PA Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Lake Travis Emergency Physicians, PLLC Emergency Medicine CurrentSince Nov 4, 2020 Accepting new patients
Brushy Creek Emergency Physicians PLLC Emergency Medicine CurrentSince May 23, 2021 Accepting new patients
Nextcare Missouri LLC PastSince Aug 1, 2016 Accepting new patients
Emergency Medicine Physicians of Cortland County, PLLC Emergency Medicine Past Accepting new patients
Providence Urgent Care LLC PastSince Jul 29, 2009 Accepting new patients

Locations

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

1860 S Lakeline Blvd
Cedar Park, TX 78613
Phone (512) 506-8503

3620 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 260-2732

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

1925 S A W Grimes Blvd
Round Rock, TX 78664
Phone (512) 260-2732

230 Deer Ridge Dr
Round Rock, TX 78681
Phone (512) 766-1400

3600 E Palm Valley Blvd
Ste 3
Round Rock, TX 78665

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1114975943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7687",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652057687",
            "telephone_number": "573-882-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE HOSPITAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652120001",
            "telephone_number": "573-882-6003",
            "fax_number": "573-884-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "HENRY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2004036764",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P0032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD/BLUE CROSS",
            "identifier": "111238",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207190406",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "701436",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.