Individual provider Active NPI

Brandi Gray Davis, NP

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1619004264
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP05059 Issued in LA
Practice address
5640 Read Blvd Ste 220
New Orleans, LA 70127-7805
Phone
(504) 244-0455
Fax
(504) 244-0433
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP05059 LA Primary

Addresses

Primary practice location

5640 Read Blvd Ste 220
New Orleans, LA 70127-7805

Mailing address

1438 Oxbow Dr
Cedar Hill, TX 75104-4006
Phone (504) 251-0493

Other identifiers 2

IdentifierTypeStateIssuer
AP05059OtherLALOUISIANA
AP115539OtherTXTX LISCENSURE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141202000945 TX Practitioner - Nurse Practitioner 1052477841 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP05059LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Luther King Jr Family Clinic CurrentSince Sep 1, 2017 Accepting new patients
Dallas County Mental Health & Mental Retardation Center PastSince Sep 1, 2017 Accepting new patients

Locations

3515 Shepherd Ln
Balch Springs, TX 75180
Phone (214) 426-3645

2922 Mlk Blvd
#B
Dallas, TX 75215
Phone (214) 425-3645

2922 Martin Luther King Jr Blvd
Dallas, TX 75215
Phone (214) 426-3645

2922 Martin Luther King Jr Blvd
Bldg B
Dallas, TX 75215
Phone (214) 426-3645

Interoperability endpoints

  • Direct secure messaging: brandi.davis@ffhc.directbygreenway.com
  • Direct secure messaging: brandi.gray.davis.1@17390.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1619004264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 OXBOW DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751044006",
            "telephone_number": "504-251-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 READ BLVD STE 220",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701277805",
            "telephone_number": "504-244-0455",
            "fax_number": "504-244-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BRANDI",
        "middle_name": "GRAY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA",
            "identifier": "AP05059",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LISCENSURE",
            "identifier": "AP115539",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.