Individual provider Active NPI

Curtis Ray Davenport, D.O.

  • Emergency Medicine Physician
  • Melbourne, FL
National Provider Identifier
1952715336
Registry record updated Mar 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS15356 Issued in FL
Practice address
2627 W Eau Gallie Blvd Ste 101
Melbourne, FL 32935-8303
Phone
(321) 837-3654
NPI assigned
Jun 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OT015805 PA
Emergency Medicine Physician 207P00000X OS022323 PA
General Practice Physician 208D00000X 286936 NY
Emergency Medicine Physician 207P00000X OS15356 FL Primary

Addresses

Primary practice location

2627 W Eau Gallie Blvd Ste 101
Melbourne, FL 32935-8303

Mailing address

2627 W Eau Gallie Blvd Ste 101
Melbourne, FL 32935-8303
Phone (321) 837-3654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180830000793 FL Practitioner - Emergency Medicine 4284921537 Reassigns benefits to 1 organization
I20221107000528 PA Practitioner - Emergency Medicine 4284921537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brevard Physician Associates PLLCGroup PAC ID 1850535048, 221 clinicians

Practice addresses (Care Compare)

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
286936NYMDLicensed Practical Nurse
OS15356FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
St Clair Medical Services Inc CurrentSince May 7, 2023 Accepting new patients
Brevard Physician Associates, PLLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
St. Clair Medical Services, Inc. CurrentSince May 7, 2023 Accepting new patients
University of Pittsburgh Physicians CurrentSince Nov 1, 2022 Accepting new patients

Locations

2627 W Eau Gallie Blvd
Ste 101
Melbourne, FL 32935
Phone (321) 837-3654

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

3600 Forbes Ave
Pittsburgh, PA 15213
Phone (412) 647-1310

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

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 2

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": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1952715336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 W EAU GALLIE BLVD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358303",
            "telephone_number": "321-837-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 W EAU GALLIE BLVD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358303",
            "telephone_number": "321-837-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "CURTIS",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT015805",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS022323",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "286936",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS15356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.