NPIMap

Individual provider Active NPI

Brian Neil Davis, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Reno, NV
National Provider Identifier
1164677944
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
R1729 Issued in KY
Practice address
1350 Stardust St
Suite D
Reno, NV 89503-4264
Phone
(775) 746-3400
NPI assigned
Nov 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X R1729 KY Primary

Addresses

Primary practice location

1350 Stardust St
Suite D
Reno, NV 89503-4264

Mailing address

1350 Stardust St Ste D
Reno, NV 89503-4264
Phone (775) 746-3400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150930002794 ID Practitioner - Pathology 3173780368 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Medical Branch at Galveston, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Gastroenterology Associates LLPGroup PAC ID 6002708773, 35 clinicians
Diagnostic Pathology Services IncGroup PAC ID 2567406689, 5 clinicians
Digestive Health Clinic LLCGroup PAC ID 7315948874, 26 clinicians

Practice addresses (Care Compare)

1200 Garrity Blvd
Nampa, ID 83687-3402
Phone (208) 489-1431

1717 Arlington Ave
Caldwell, ID 83605-4802
Phone (208) 459-4641

3614 E Newby St
Suite 101
Nampa, ID 83687-9422
Phone (208) 205-1000

4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 466-2661

6259 W Emerald St
Boise, ID 83704-8731
Phone (208) 489-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.73 of 100Reported as group
Quality
85.47
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.42 of 100Reported as group
Quality
69.8
Promoting interoperability
98
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1729KYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Valley Professional Fee Billing, LLC Current Accepting new patients
Idaho Gastroenterology Associates, LLP CurrentSince Jun 1, 2021 Accepting new patients
Digestive Health Clinic LLC CurrentSince Jan 1, 2024 Accepting new patients
Idaho Endoscopy Center LLC Current Accepting new patients
Digestive Health Clinic LLC Current Accepting new patients
Diagnostic Pathology Services Inc Anatomic Pathology & Clinical Pathology CurrentSince Aug 10, 2015 Accepting new patients
Southern Idaho Health Partners LLC Past Accepting new patients

Locations

425 W Bannock St
Boise, ID 83702
Phone (208) 343-1702

6259 W Emerald St
Boise, ID 83704
Phone (208) 489-1900

1717 Arlington Ave
Caldwell, ID 83605
Phone (208) 455-3719

875 S Vanguard Way
Ste 310
Meridian, ID 83642
Phone (208) 343-6458

3614 E Newby St
Ste 101
Nampa, ID 83687
Phone (208) 205-1000

4300 E Flamingo Ave
Nampa, ID 83687
Phone (208) 205-1000

1200 Garrity Blvd
Nampa, ID 83687
Phone (208) 343-6458

1512 12th Ave Rd
Nampa, ID 83686
Phone (208) 463-5000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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 8

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": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1164677944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 STARDUST ST STE D",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034264",
            "telephone_number": "775-746-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 STARDUST ST",
            "address_2": "SUITE D",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034264",
            "telephone_number": "775-746-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BRIAN",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-20",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "R1729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.