Individual provider Active NPI

Brian E Davis, APRN

  • Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1932198124
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3004151 Issued in KY
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
78011319MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040115000925 KY Practitioner - Nurse Practitioner 5890696561 Reassigns benefits to 2 organizations

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 100Reported as group
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

LicenseStateTypeSpecialty
3004151KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc CurrentSince Feb 1, 2014 Accepting new patients
Kings Daughters Medical Specialties Inc Nurse Practitioner Current Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Feb 1, 2014 Accepting new patients
Ashland Hospital Corporation Current Accepting new patients
Ashland Hospital Corporation Nurse Practitioner CurrentSince Mar 2, 2015 Accepting new patients
Ashland Hospital Corporation Nurse Practitioner CurrentSince Mar 2, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.