Active NPI
Bianca Marie Davenport, M.D.
- Neonatal-Perinatal Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- P9830
- Practice address
- 7400 Fannin St Ste 810
Houston, TX 77054-1935 - Phone
- (713) 512-8500
- Fax
- (713) 796-2121
- NPI assigned
- Jun 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BP1-0039527 | TX | |
| Pediatrics Physician | 208000000X | P9830 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | P9830 | TX | Primary |
Addresses
Primary practice location
7400 Fannin St Ste 810
Houston, TX 77054-1935
Mailing address
4301 W Markham St
Little Rock, AR 72205-7101
Other practice location 1
4301 W Markham St
Little Rock, AR 72205-7101
Phone (501) 686-5356
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340903902 | Medicaid | TX | |
| 340903901 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP1-0039527 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pokroy Medical Group of Nevada, LTD. | Pediatrics | Current | Accepting new patients |
| Spring Valley Medical Center | Past | Accepting new patients | |
| Summerlin Hospital Medical Center L L C | Past | Accepting new patients | |
| Centennial Hills Hospital Medical Center | Past | Accepting new patients | |
| Henderson Hospital | Past | Accepting new patients |
Locations
File 50978
Los Angeles, CA 90074
770 The City Dr S
Ste 4000
Orange, CA 92868
Phone (800) 463-6628
1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124
3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000
5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342
657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571
6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964
Interoperability endpoints
- https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4
Organizations & group practices 5
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.
-
- Neonatal-Perinatal Medicine Physician
- Las Vegas, NV
- NPI 1992809412
Pediatrics
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1003281452
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1346230323
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831189638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1770877979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 FANNIN ST STE 810",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770541935",
"telephone_number": "713-512-8500",
"fax_number": "713-796-2121"
}
],
"practiceLocations": [
{
"address_1": "4301 W Markham St",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-686-5356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVENPORT",
"first_name": "BIANCA",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-06",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "BP1-0039527",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P9830",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TX",
"license": "P9830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340903902",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340903901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.