Active NPI
Brett W. Davies, MD
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Jbsa Lackland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- R0556
- Practice address
- 1100 Wilford Hall Loop BLDG 4554
Jbsa Lackland, TX 78236 - Phone
- (210) 292-6225
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | R0556 | TX | Primary |
Addresses
Primary practice location
1100 Wilford Hall Loop BLDG 4554
Jbsa Lackland, TX 78236
Mailing address
1100 Wilford Hall Loop, BLDG 4554
Attn: 59 MDW/SGHC JBS
Jbsa Lackland, TX 78236-9008
Phone (210) 292-6225
Other practice location 1
9725 Datapoint Dr Ste 106
San Antonio, TX 78229-2385
Phone (210) 585-2020
Other practice location 2
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 916-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31035311 | Medicaid | CO |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9725 Datapoint Dr
Suite 106
San Antonio, TX 78229-2385
Phone (210) 615-9358
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.42 of 100
- Quality
- 94.48
- Improvement activities
- 40
- Cost
- 68.76
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0556 | TX | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anestexia LLC | Current | Accepting new patients | |
| Refractive Surgery & Diagnostic Center PLLC | Current | Accepting new patients |
Locations
266 Landa St
Ste 105
New Braunfels, TX 78130
Phone (210) 585-2020
9725 Datapoint Dr
Ste 200
San Antonio, TX 78229
Phone (210) 615-9358
9725 Datapoint Dr
Ste 106
San Antonio, TX 78229
Phone (210) 585-2020
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- San Antonio, TX
- NPI 1639419013
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1457004244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1497959746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP, BLDG 4554",
"address_2": "ATTN: 59 MDW/SGHC JBS",
"city": "JBSA LACKLAND",
"state": "TX",
"postal_code": "782369008",
"telephone_number": "210-292-6225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP BLDG 4554",
"city": "JBSA LACKLAND",
"state": "TX",
"postal_code": "78236",
"telephone_number": "210-292-6225"
}
],
"practiceLocations": [
{
"address_1": "9725 Datapoint Dr Ste 106",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782292385",
"country_code": "US",
"telephone_number": "210-585-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3551 Roger Brooke Dr",
"address_purpose": "LOCATION",
"city": "Fort Sam Houston",
"state": "TX",
"postal_code": "782344504",
"country_code": "US",
"telephone_number": "210-916-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIES",
"first_name": "BRETT",
"middle_name": "W.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "TX",
"license": "R0556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31035311",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa Lackland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.