Individual provider Active NPI

Duncan Ben Davidson, M.D.

  • Diagnostic Radiology Physician
  • Providence, RI
National Provider Identifier
1285045534
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD19815 Issued in RI
Practice address
593 Eddy St
Providence, RI 02903-4923
Phone
(401) 444-4000
NPI assigned
May 8, 2014
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 27043 WV
Diagnostic Radiology Physician 2085R0202X MD19815 RI Primary
Neuroradiology Physician 2085N0700X 66284 MN
Diagnostic Radiology Physician 2085R0202X 0101260494 VA
Diagnostic Radiology Physician 2085R0202X 1019007 MA

Addresses

Primary practice location

593 Eddy St
Providence, RI 02903-4923

Mailing address

125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Phone (401) 432-2500

Other practice location 1

211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200

Other practice location 2

1 Healthy Way
Berkeley Springs, WV 25411-7463
Phone (304) 258-6510

Other practice location 3

363 Sunrise Blvd
Romney, WV 26757-4607
Phone (304) 822-4561

Other practice location 4

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8750

Other practice location 5

500 Hospital Dr
Warrenton, VA 20186-3027
Phone (540) 316-5000

Other practice location 6

200 Memorial Dr
Luray, VA 22835-1000
Phone (540) 743-4561

Other practice location 7

759 S Main St
Woodstock, VA 22664-1154
Phone (540) 459-1100

Other practice location 8

160 Exeter Dr Ste 103
Winchester, VA 22603-8614
Phone (540) 686-1600

Other practice location 9

120 Campus Dr Ste 121
Martinsburg, WV 25404-7552
Phone (681) 242-3713

Other practice location 10

1000 N Shenandoah Ave
Front Royal, VA 22630-3547
Phone (540) 636-0300

Other practice location 11

7505 Metro Blvd Ste 400
Edina, MN 55439
Phone (612) 573-2200

Other practice location 12

160 Exeter Dr Ste 104
Winchester, VA 22603-8614
Phone (540) 545-4674

Electronic endpoints 10

TypeEndpointUseAffiliation
Direct Messaging Address ddavidson114689@soc.inova.org
Direct Messaging Address ddavidson114689@soc.inova.org
Direct Messaging Address ddavidson114689@soc.inova.org
Direct Messaging Address ddavidson114689@soc.inova.org
Direct Messaging Address ddavidson114689@soc.inova.org
Direct Messaging Address ddavidson114689@soc.inova.org
Direct Messaging Address ddavidson114689@soc.inova.org
Direct Messaging Address ddavidson114689@soc.inova.org
Direct Messaging Address ddavidson114689@soc.inova.org
Direct Messaging Address ddavidson114689@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV, RI, MA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20160906002238 VA Practitioner - Diagnostic Radiology 0840586525 Reassigns benefits to 5 organizations
I20160914001799 WV Practitioner - Diagnostic Radiology 0840586525 Reassigns benefits to 2 organizations
I20240528003633 RI Practitioner - Diagnostic Radiology 0840586525 Reassigns benefits to 1 organization
I20240604002481 MA Practitioner - Diagnostic Radiology 0840586525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Columbia University College of Physicians and Surgeons, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rhode Island Medical Imaging IncGroup PAC ID 8022097815, shared by 2 NPIs, 107 clinicians

Practice addresses (Care Compare)

211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27043WVMDDiagnostic Neuroimaging (Radiology) Physician
1019007MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Feb 12, 2019 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Nov 4, 2018 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Nov 4, 2018 Accepting new patients
Warren Memorial Hospital, Inc. Current Accepting new patients
Rhode Island Medical Imaging Inc Diagnostic Radiology CurrentSince Mar 17, 2024 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince May 8, 2017 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Nov 4, 2018 Accepting new patients
Hampshire Memorial Hospital, Inc. CurrentSince Feb 12, 2019 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Feb 12, 2019 Accepting new patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
War Memorial Hospital, Inc. CurrentSince Feb 12, 2019 Accepting new patients
Valley Physician Enterprise, Inc CurrentSince May 8, 2017 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Feb 12, 2019 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Nov 4, 2018 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center CurrentSince Feb 12, 2019 Accepting new patients
War Memorial Hospital Inc CurrentSince Feb 12, 2019 Accepting new patients
Hampshire Memorial Hospital, Inc. CurrentSince Feb 12, 2019 Accepting new patients
Rhode Island Medical Imaging Inc Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
Shenandoah Memorial Hospital, Inc. Past Accepting new patients
Page Memorial Hospital Inc. Past Accepting new patients
Consulting Radiologists, LTD Neuroradiology PastSince Jan 1, 2020 Accepting new patients
Quest Diagnostics LLC Il PastSince Jan 1, 2020 Accepting new patients

Locations

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

1 Randall Sq
Providence, RI 02904
Phone (401) 272-5500

593 Eddy St
Providence, RI 02903

125 Metro Center Blvd
Ste 2000
Warwick, RI 02886
Phone (401) 432-2520

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

120 N Commerce Ave
Front Royal, VA 22630
Phone (540) 635-0730

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561

505 Williams Ave
Shenandoah, VA 22849
Phone (540) 652-9100

160 Exeter Dr
Ste 104
Winchester, VA 22603
Phone (540) 431-3600

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

1 Healthy Way
Berkeley Springs, WV 25411
Phone (304) 258-1234

329 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-4932

363 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-4561

Interoperability endpoints

  • Direct secure messaging: ddavidson114689@soc.inova.org

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 9

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": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1285045534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 METRO CENTER BLVD STE 2000",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861785",
            "telephone_number": "401-432-2500",
            "fax_number": "401-889-3619"
        },
        {
            "country_code": "US",
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            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-4000"
        }
    ],
    "practiceLocations": [
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            "telephone_number": "508-222-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Healthy Way",
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            "postal_code": "254117463",
            "country_code": "US",
            "telephone_number": "304-258-6510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "363 Sunrise Blvd",
            "address_purpose": "LOCATION",
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            "postal_code": "267574607",
            "country_code": "US",
            "telephone_number": "304-822-4561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 Amherst St",
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            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-8750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Hospital Dr",
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            "country_code": "US",
            "telephone_number": "540-316-5000",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "200 Memorial Dr",
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            "postal_code": "228351000",
            "country_code": "US",
            "telephone_number": "540-743-4561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "759 S Main St",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "VA",
            "postal_code": "226641154",
            "country_code": "US",
            "telephone_number": "540-459-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Exeter Dr Ste 103",
            "address_purpose": "LOCATION",
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            "state": "VA",
            "postal_code": "226038614",
            "country_code": "US",
            "telephone_number": "540-686-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Campus Dr Ste 121",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254047552",
            "country_code": "US",
            "telephone_number": "681-242-3713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Shenandoah Ave",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226303547",
            "country_code": "US",
            "telephone_number": "540-636-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7505 Metro Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "55439",
            "country_code": "US",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Exeter Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226038614",
            "country_code": "US",
            "telephone_number": "540-545-4674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "DUNCAN",
        "middle_name": "BEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-08",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "WV",
            "license": "27043",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD19815",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MN",
            "license": "66284",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101260494",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "1019007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddavidson114689@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "500 Hospital Dr",
            "city": "Warrenton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201863027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddavidson114689@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "759 S Main St",
            "city": "Woodstock",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226641154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddavidson114689@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "200 Memorial Dr",
            "city": "Luray",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228351000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddavidson114689@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "160 Exeter Dr Ste 103",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226038614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddavidson114689@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "160 Exeter Dr Ste 104",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226038614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddavidson114689@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddavidson114689@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "120 Campus Dr Ste 121",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254047552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddavidson114689@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "1000 N Shenandoah Ave",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226303547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddavidson114689@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "363 Sunrise Blvd",
            "city": "Romney",
            "state": "WV",
            "country_code": "US",
            "postal_code": "267574607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddavidson114689@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "1 Healthy Way",
            "city": "Berkeley Springs",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254117463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.