Active NPI
Wiliam Gray Davis, M.D.
- Otolaryngology Physician
- Brentwood, TN
National Provider Identifier
1386011468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 005227
- Practice address
- 5709 Hearthstone LN
Brentwood, TN 37027-4313 - Phone
- (615) 661-0751
- NPI assigned
- Aug 25, 2015
- Last updated
- Aug 25, 2015
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 005227 | TN | Primary |
Addresses
Primary practice location
5709 Hearthstone LN
Brentwood, TN 37027-4313
Mailing address
5709 Hearthstone LN
Brentwood, TN 37027-4313
Phone (615) 661-0751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005227 | TN | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440460800000",
"number": "1386011468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5709 HEARTHSTONE LN",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274313",
"telephone_number": "615-661-0751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5709 HEARTHSTONE LN",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274313",
"telephone_number": "615-661-0751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "WILIAM",
"middle_name": "GRAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-25",
"last_updated": "2015-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TN",
"license": "005227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.