Active NPI
Brandon Keith Davis, M.D.
- Anesthesiology Physician
- North Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2009016990
- Practice address
- 2700 Clay Edwards Drive, Suite 240
North Kansas City, MO 64116-2539 - Phone
- (816) 691-2021
- Fax
- (816) 346-7690
- NPI assigned
- Jun 24, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2009016990 | MO | Primary |
Addresses
Primary practice location
2700 Clay Edwards Drive, Suite 240
North Kansas City, MO 64116-2539
Mailing address
3635 Vista Ave
Saint Louis, MO 63110-2539
Phone (314) 577-8000
Other practice location 1
3635 Vista Ave
Saint Louis, MO 63110-2539
Phone (314) 577-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, MN
- 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
- Anesthesiology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2700 Clay Edwards Dr
Suite 240
North Kansas City, MO 64116-3254
Phone (816) 691-2021
Hospital & facility affiliations
- NKC Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009016990 | MO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meritas Health Corporation | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Mngi Digestive Health, P.a. | Current | Accepting new patients | |
| Meritas Health Corporation | Anesthesiology | Current | Accepting new patients |
| Capital Anesthesia Solutions of Missouri, LLC | Anesthesiology | Current | Accepting new patients |
| Meritas Health Corporation | Past | Accepting new patients | |
| Meritas Health Corporation | Past | Accepting new patients |
Locations
3001 Broadway St NE
Ste 500
Minneapolis, MN 55413
Phone (612) 870-5557
15700 37th Ave N
Plymouth, MN 55446
Phone (763) 577-0008
237 Radio Dr
Ste 210
Woodbury, MN 55125
Phone (612) 502-5092
237 Radio Dr
Ste 200
Woodbury, MN 55125
9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1801875091
-
- Anesthesiology Physician
- Rombauer, MO
- NPI 1770185472
-
- Gastroenterology Physician
- Minneapolis, MN
- NPI 1609804541
-
- Anesthesiology Physician
- North Kansas City, MO
- NPI 1184267262
-
- Neurology Physician
- Kansas City, MO
- NPI 1669323291
-
- Neurology Physician
- North Kansas City, MO
- NPI 1023439833
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1619606159
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- North Kansas City, MO
- NPI 1629062799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1346478799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3635 VISTA AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102539",
"telephone_number": "314-577-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 CLAY EDWARDS DRIVE, SUITE 240",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "641162539",
"telephone_number": "816-691-2021",
"fax_number": "816-346-7690"
}
],
"practiceLocations": [
{
"address_1": "3635 Vista Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631102539",
"country_code": "US",
"telephone_number": "314-577-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "BRANDON",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-24",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "2009016990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.