Active NPI
Brian E Davis, APRN
- Nurse Practitioner
- Ashland, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3004151
- Practice address
- 613 23Rd St Ste 230
Ashland, KY 41101-2868 - Phone
- (606) 324-4745
- Fax
- (606) 324-4941
- NPI assigned
- Oct 19, 2005
- Last updated
- Feb 21, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3004151 | KY | |
| Nurse Practitioner | 363L00000X | 3004151 | KY | Primary |
Addresses
Primary practice location
613 23Rd St Ste 230
Ashland, KY 41101-2868
Mailing address
PO Box 2379
Ashland, KY 41105-2379
Phone (606) 408-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78011319 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- JC Edwards School of Medicine, Marshall University, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1109 Bellefonte Rd
Flatwoods, KY 41139-2503
Phone (606) 836-8086
2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000
391 W Tom T Hall Blvd
Olive Hill, KY 41164-7688
Phone (606) 286-8039
609 N Carol Malone Blvd
Grayson, KY 41143-1123
Phone (606) 324-4745
609 N Carol Malone Blvd St
Suite 105
Grayson, KY 41143-1123
Phone (606) 474-4200
613 23Rd St
Ashland, KY 41101-2868
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.04 of 100
- Quality
- 60.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3004151 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Nurse Practitioner | Current | Accepting new patients |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Ashland Hospital Corporation | Current | Accepting new patients | |
| Ashland Hospital Corporation | Nurse Practitioner | Current | Accepting new patients |
| Ashland Hospital Corporation | Nurse Practitioner | Current | Accepting new patients |
| Kings Daughters Medical Specialties Inc | Nurse Practitioner | Past | Accepting new patients |
Locations
1000 Saint Christopher Dr
Ashland, KY 41101
Phone (606) 833-2273
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963
617 23rd St
Ste 6
Ashland, KY 41101
Phone (606) 324-4745
613 23rd St
Ashland, KY 41101
Phone (606) 327-4000
613 23rd St
Ste 230
Ashland, KY 41101
Phone (606) 324-4745
609 N Carol Malone Blvd
#105
Grayson, KY 41143
Phone (606) 408-8200
1061 Kenwood Dr
Russell, KY 41169
Phone (606) 326-1675
Interoperability endpoints
- bdavis54039@direct.kdhealth.us
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kings Daughters Medical Specialities Physical Medicine and Rehab
- Physical Medicine & Rehabilitation Physician
- Prestonsburg, KY
- NPI 1710215736
Nurse Practitioner
-
dba King's Daughters Family Pharmacy #3
- Community/Retail Pharmacy
- Ironton, OH
- NPI 1053748913
KY
-
dba Kings Daughters Medical Center
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
Nurse Practitioner
-
dba Kings Daughters Medical Specialties Tri State Regional Cancer Center
- Radiation Oncology Physician
- Ashland, KY
- NPI 1699565176
-
dba Kings Daughters Medical Specialties - Plastic & Reconstructive Surgeon
- Plastic Surgery Physician
- Ashland, KY
- NPI 1720397409
-
dba Kings Daughters Medical Center Jackson Medical Specialties
- Rural Health Clinic/Center
- Jackson, OH
- NPI 1356434773
Nurse Practitioner
-
dba Kings Daughters Medical Specialties Bluegrass Urology
- Cardiovascular Disease Physician
- Ashland, KY
- NPI 1972830404
Nurse Practitioner
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kings Daughters Medical Center
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
-
dba King's Daughters Medical Center - Ohio
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1417227398
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1164492195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1932198124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2379",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411052379",
"telephone_number": "606-408-6200",
"fax_number": "606-408-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 23RD ST STE 230",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012868",
"telephone_number": "606-324-4745",
"fax_number": "606-324-4941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BRIAN",
"middle_name": "E",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3004151",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3004151",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78011319",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.
- 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.