Barry D Davis, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME123475 Issued in FL

Practice address

241 SE 1St St
Belle Glade, FL 33430-3501

Phone

(561) 707-9149

NPI assigned

Apr 24, 2008

Last updated

Nov 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, FL2 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 2

Specialty

General Surgery

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Group practices

Hendry County Hospital AuthorityGroup PAC ID 8022912435, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hendry Regional Medical Center Hospital, Clewiston, FL, CCN 101309

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lmcbadavi@yourcarecommunity.org

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.

• Hendry County Hospital Authority

  dba Hendry Regional Physicians Group

  • Specialist
  • Clewiston, FL
  • NPI 1356360424
  Medicare reassignment Care Compare group NPD
• Murphy Medical Center Inc

  • Certified Registered Nurse Anesthetist
  • Murphy, NC
  • NPI 1649378423
  Medicare reassignment NPD
• Scotland Memorial Hospital Inc

  dba SURGICAL ASSOCIATES of SCOTLAND

  • Vascular Surgery Physician
  • Laurinburg, NC
  • NPI 1477791507
  Medicare reassignment NPD
• G34 Surgical Associates, LLC

  • Surgery Physician
  • Belle Glade, FL
  • NPI 1306490008
  Authorized official Same address or phone
• Hendry County Hospital Authority

  dba Hendry Regional Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Clewiston, FL
  • NPI 1336937408
  NPD
• Hendry County Hospital Authority

  dba Hendry Regional Cardiology

  • Medical Specialty Clinic/Center
  • Clewiston, FL
  • NPI 1699915413
  NPD
• Murphy Medical Center, Inc.

  dba Murphy Group Practice

  • Surgery Physician
  • Murphy, NC
  • NPI 1700053865
  NPD
• Murphy Medical Center, Inc.

  dba Erlanger Andrews Family Practice

  • Rural Health Clinic/Center
  • Andrews, NC
  • NPI 1972123537
  NPD
• Scotland Memorial Hospital Inc

  dba Sterling Surgical Services

  • Surgery Physician
  • Laurinburg, NC
  • NPI 1104918754
  NPD
• Hendry County Hospital Authority

  dba Hendry Regional Convenient Care Center

  • Rural Health Clinic/Center
  • Labelle, FL
  • NPI 1588859623
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hendry County Hospital Authority

  dba Hendry Regional Medical Center

  • Critical Access Hospital
  • Clewiston, FL
  • NPI 1215960315
  Care Compare affiliation

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1316112089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 FAIRLANE FARMS RD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148752",
            "telephone_number": "561-766-1300",
            "fax_number": "561-693-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 SE 1ST ST",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303501",
            "telephone_number": "561-707-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BARRY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2020-11-04",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME123475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316112089",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC2668",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lesly Desrouleaux, MD

• Surgery Physician in Belle Glade, FL
• Providers in Belle Glade, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.

Verify at the official NPI Registry.