Individual provider Active NPI

Randall Kent Davis, M.D.

  • Obstetrics & Gynecology Physician
  • New Braunfels, TX
National Provider Identifier
1366479438
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J3081 Issued in TX
Practice address
1034 W County Line Rd
New Braunfels, TX 78130-8338
Phone
(830) 606-9900
Fax
(830) 608-1073
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X J3081 TX Primary

Addresses

Primary practice location

1034 W County Line Rd
New Braunfels, TX 78130-8338

Mailing address

3750 Commercial Ave
San Antonio, TX 78221-3117
Phone (210) 334-3750

Other identifiers 1

IdentifierTypeStateIssuer
1284341-03MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050311000373 TX Practitioner - Obstetrics/Gynecology 2567416589 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of New Mexico School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Texas Holdings PAGroup PAC ID 3577713072, 176 clinicians

Practice addresses (Care Compare)

555 Creekside Xing
New Braunfels, TX 78130-2594
Phone (864) 908-3530

5950 Saratoga Blvd
Corpus Christi, TX 78414-4100
Phone (800) 967-2289

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Westover Hills Women'S Health PA Obstetrics & Gynecology CurrentSince Nov 11, 2017 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Jan 1, 2015 Accepting new patients
Lone Star OB/GYN Associates, P.a. Obstetrics & Gynecology CurrentSince Jul 28, 2017 Accepting new patients
Southside Women'S Center, P.a. CurrentSince Jan 1, 1994 Accepting new patients
Resolute Hospital Company, LLC Past Accepting new patients

Locations

10 Centimeters Dr
Mauldin, SC 29662
Phone (800) 867-2289

5920 Saratoga Blvd
Ste 570
Corpus Christi, TX 78414
Phone (361) 985-8100

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

7950 Floyd Curl Dr
Ste 300
San Antonio, TX 78229
Phone (210) 615-6505

3903 Wiseman Blvd
Ste 300
San Antonio, TX 78251
Phone (210) 426-3663

7950 Floyd Curl Dr
Ste 300400
San Antonio, TX 78229
Phone (210) 615-6505

11212 State Highway 151
Ste 150
San Antonio, TX 78251
Phone (210) 233-1215

7430 Barlite Blvd
Ste 105
San Antonio, TX 78224
Phone (210) 568-1949

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1366479438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 COMMERCIAL AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782213117",
            "telephone_number": "210-334-3750",
            "fax_number": "210-922-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 W COUNTY LINE RD",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781308338",
            "telephone_number": "830-606-9900",
            "fax_number": "830-608-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RANDALL",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J3081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1284341-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.