Active NPI
Brandon L Davis, MD
- Ophthalmology Physician
- Metairie, LA
National Provider Identifier
1235343187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD201500
- Practice address
- 4224 Houma Blvd Ste 430
Metairie, LA 70006-2937 - Phone
- (504) 888-7771
- Fax
- (504) 888-9388
- NPI assigned
- May 10, 2007
- Last updated
- Sep 27, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD201500 | LA | Primary |
| Ophthalmology Physician | 207W00000X | 21052 | MS |
Addresses
Primary practice location
4224 Houma Blvd Ste 430
Metairie, LA 70006-2937
Mailing address
1 Holyland Dr
Metairie, LA 70006-1055
Phone (504) 888-7771
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03183371 | Medicaid | MS | |
| 1014621 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15190 Community Rd
Suite 320
Gulfport, MS 39503-3498
Phone (228) 832-7779
4224 Houma Blvd
Suite 430
Metairie, LA 70006-2937
Phone (504) 888-7771
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD201500 | LA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph Guarnieri | Current | Accepting new patients | |
| Joseph Guarnieri | Ophthalmology | Current | Accepting new patients |
Locations
1111 Medical Center Blvd
Ste N213
Marrero, LA 70072
Phone (504) 349-6213
Interoperability endpoints
- https://api.platform.athenahealth.com/7774/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
dba Eye Associates of West Jefferson
- Ophthalmology Physician
- Marrero, LA
- NPI 1336221175
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
dba East Jefferson General Hospital
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
dba Lakeview Regional Behavioral Health
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317081600000",
"number": "1235343187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOLYLAND DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700061055",
"telephone_number": "504-888-7771",
"fax_number": "504-888-9388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4224 HOUMA BLVD STE 430",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062937",
"telephone_number": "504-888-7771",
"fax_number": "504-888-9388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BRANDON",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2011-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "LA",
"license": "MD201500",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MS",
"license": "21052",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03183371",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1014621",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.