Active NPI
Brian Patrick Davis, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- DR.0065919
- Practice address
- 4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080 - Phone
- (303) 449-2730
- NPI assigned
- Apr 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | BP10056453 | TX | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | DR.0065919 | CO | Primary |
Addresses
Primary practice location
4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Other practice location 1
1 Baylor Plz
Houston, TX 77030-3411
Phone (713) 798-4260
Other practice location 2
175 Inverness Dr W Ste 200
Englewood, CO 80112-5069
Phone (720) 848-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210729001553 | CO | Practitioner - Sports Medicine | 4082017934 | Reassigns benefits to 7 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10056453 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Phillips County Hospital District | Current | Accepting new patients | |
| Bouldercentre for Orthopedics PC | Orthopaedic Surgery | Current | Accepting new patients |
| East Phillips County Hospital District | Current | Accepting new patients | |
| Wray Community District Hospital | Current | Accepting new patients | |
| Wray Community District Hospital | Current | Accepting new patients | |
| Wray Community District Hospital | Current | Accepting new patients | |
| East Phillips County Hospital District | Current | Accepting new patients | |
| East Phillips County Hospital District | Current | Accepting new patients | |
| Bouldercentre for Orthopedics | Orthopaedic Surgery | Past | Accepting new patients |
| Broomfield Orthopedic Surgery Center, LLC | Past | Accepting new patients | |
| East Phillips County Hospital District | Past | Accepting new patients | |
| East Phillips County Hospital District | Past | Accepting new patients | |
| East Phillips County Hospital District | Past | Accepting new patients |
Locations
4740 Pearl Pkwy
Ste 200
Boulder, CO 80301
1185 State Highway 7
Broomfield, CO 80023
Phone (303) 442-2666
1185 State Highway 7
Ste 200
Broomfield, CO 80023
1001 E Johnson St
Holyoke, CO 80734
Phone (970) 854-2241
700 Main St
Wray, CO 80758
Phone (970) 332-3450
1017 W 7th St
Wray, CO 80758
Phone (970) 332-4811
Interoperability endpoints
- brian.davis.1@3497.direct.athenahealth.com
- brian.davis.1@15466.direct.athenahealth.com
- https://fhir-myrecord.cerner.com/r4/ntTIZxOIDS2tB2PUqr33FYQo0UWd2W9R/
- https://api.platform.athenahealth.com/3497/brand/1/csg/21/fhir/r4
Organizations & group practices 16
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.
-
- Orthopaedic Surgery Physician
- Boulder, CO
- NPI 1336197631
CO, Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Westminster, CO
- NPI 1245556091
CO
-
- Medicare Defined Swing Bed Hospital Unit
- Holyoke, CO
- NPI 1912915893
CO
-
- Rural Health Clinic/Center
- Wray, CO
- NPI 1184414542
-
- Medicare Defined Swing Bed Hospital Unit
- Wray, CO
- NPI 1831312925
-
- General Practice Dentistry
- Holyoke, CO
- NPI 1235624990
-
- Land Ambulance
- Holyoke, CO
- NPI 1407444276
-
- Physical Therapist
- Wray, CO
- NPI 1912486820
-
- Orthopaedic Surgery Physician
- Broomfield, CO
- NPI 1780448951
Orthopaedic Surgery
Hospital & facility affiliations 44
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- University of Colorado School of Medicine, Denver, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wray Community District HospitalHealthone Clinic Services Orthopedic Specialists LLCBouldercentre for Orthopedics PC
Practice addresses (Care Compare)
1017 W 7TH St
Wray, CO 80758-1420
Phone (970) 332-4811
4700 Hale Pkwy
Suite 360
Denver, CO 80220-4041
Phone (720) 754-4410
4740 Pearl Pkwy
Suite 200
Boulder, CO 80301-3080
Phone (303) 449-2730
Hospital & facility affiliations
- Melissa Memorial Hospital
- Centura Health-St Anthony North Health Campus
- Boulder Community Health
- Wray Community District Hospital
- HCA Healthone Rose
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 42 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1124473194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 PEARL PKWY STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013080",
"telephone_number": "303-449-2730"
}
],
"practiceLocations": [
{
"address_1": "1 Baylor Plz",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770303411",
"country_code": "US",
"telephone_number": "713-798-4260",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "175 Inverness Dr W Ste 200",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "CO",
"postal_code": "801125069",
"country_code": "US",
"telephone_number": "720-848-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "BRIAN",
"middle_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-27",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "BP10056453",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CO",
"license": "DR.0065919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.