Brett C Davis MD PLLC
Organization Active NPI Gastroenterology Physician · Owensboro, KY
NPI 1447760939 · NPPES record last updated Dec 31, 2020
Key facts
- NPI
- 1447760939
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- Legal business name
- BRETT C DAVIS MD PLLC
- Practice address
- 1000 Breckenridge St Ste 302a
Owensboro, KY 42303-0877 - Phone
- (812) 491-1307
- NPI assigned
- Oct 10, 2017
- Organization subpart
- No
Authorized official
- Name
- Brett Davis, MD
- Title
- Owner
- Phone
- (270) 993-1885
Practitioners 1
-
Brett C Davis, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180122000735 | KY | Part B Supplier - Clinic/Group Practice | 4880953801 |
Receives reassigned benefits from 1 practitioner Practice locations: Owensboro, KY |
National Provider Directory
Locations
1000 Breckenridge St
Ste 302A
Owensboro, KY 42303
Phone (270) 228-0210
Interoperability endpoints
- brettcdavis.brettdavis@137848.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | Yes |
Addresses
Primary practice location
1000 Breckenridge St Ste 302a
Owensboro, KY 42303-0877
Mailing address
PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | BrettCDavis.BrettDavis@137848.advancedmd-direct.com |
Other providers in Owensboro, KY
- Clare A Braun Hashemi
- Carol Jean Braun
- Jacqueline Jill Braun
- Jennifer Erin Brenner
- Lori J Bretschneider
- Kristi Lynn Brewer
- Taylor Gaddis Brewer
- Misty Michelle Brey Sanford
- David M Brey
- Nicole Lynn Brey
All providers in Owensboro, KY · Gastroenterology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.