Brandy Davis MD P a

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRANDY DAVIS MD P A

Practice address

904 Holiday Dr
Suite 406
Forrest City, AR 72335-9183

Phone

(870) 494-4000

Fax

(870) 494-4033

NPI assigned

Jul 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandy Alexis Davis, M.D.NPI 1629027313

Title

President

Phone

(870) 494-4000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Brandy Alexis Davis, M.D.

  • Family Medicine Physician
  • Forrest City, AR
  • NPI 1629027313
  Medicare reassignment NPD Authorized official
• Steffany Calloway Benton, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Forrest City, AR
  • NPI 1760873319
  Medicare reassignment NPD
• Courtney Marie Morgan-Dildine, APN

  • Family Nurse Practitioner
  • Forrest City, AR
  • NPI 1184857690
  Medicare reassignment NPD

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205869724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 HOLIDAY DR",
            "address_2": "SUITE 406",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723359183",
            "telephone_number": "870-494-4000",
            "fax_number": "870-494-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 HOLIDAY DR",
            "address_2": "SUITE 406",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723359183",
            "telephone_number": "870-494-4000",
            "fax_number": "870-494-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDY DAVIS MD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-494-4000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Boeckmann, APRN
• Rhonda Bohanon, LCSW
• Vernita Bowens, CASE MANAGER
• Sarah Boyer
• David George Boyles, LPE-I
• Justin Breezeel, PHARMD
• Jennifer Nicole Brewer, PA-C
• Kara Britt, SLP
• Carol Brocato
• Alexis Brooks

• Family Medicine Physician in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.