Brent O'bryan Davis, MD - Medicare Interventional Cardiology in Tyler, TX

Brent O'bryan Davis, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Tyler, Texas. He went to Texas A & M University System, Hsc, College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Etmc Physician Group, Inc. and his current practice location is 619 S Fleishel Ave, Suite 101, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 595-5514.

Brent O'bryan Davis is licensed to practice in Texas (license number L8663) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871588012.

Contact Information

Brent O'bryan Davis, MD
619 S Fleishel Ave, Suite 101,
Tyler, TX 75701-2004
(903) 595-5514
Not Available

Map and Direction




Physician's Profile

Full NameBrent O'bryan Davis
GenderMale
SpecialityInterventional Cardiology
Experience27 Years
Location619 S Fleishel Ave, Tyler, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brent O'bryan Davis attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 1997
  NPI Data:
  • NPI Number: 1871588012
  • Provider Enumeration Date: 09/14/2005
  • Last Update Date: 04/26/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4587636048
  • Enrollment ID: I20040806000466

Medical Identifiers

Medical identifiers for Brent O'bryan Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871588012NPI-NPPES
244841403OtherTXUNITED HEALTHCARE
8G7381OtherTXBCBS
166213201MedicaidTX
7571606OtherTXAETNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease L8663 (Texas)Secondary
207RI0011XInternal Medicine - Interventional Cardiology L8663 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ut Health East Texas Tyler Regional HospitalTyler, TXHospital
Ut Health East Texas Henderson HospitalHenderson, TXHospital
Ut Health East Texas Athens HospitalAthens, TXHospital
Ut Health East Texas Jacksonville HospitalJacksonville, TXHospital
Ut Health East Texas Pittsburg HospitalPittsburg, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Etmc Physician Group, Inc.4486915600278

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brent O'bryan Davis allows following entities to bill medicare on his behalf.
Entity NameEast Texas Medical Center Healthcare Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124062484
PECOS PAC ID: 3678486222
Enrollment ID: O20031114000152
Entity NameEtmc Physician Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609382662
PECOS PAC ID: 4486915600
Enrollment ID: O20180305002106

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brent O'bryan Davis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brent O'bryan Davis, MD
619 S Fleishel Ave, Suite 101,
Tyler, TX 75701-2004

Ph: (903) 595-5514
Brent O'bryan Davis, MD
619 S Fleishel Ave, Suite 101,
Tyler, TX 75701-2004

Ph: (903) 595-5514

Reviews and Comments


Internal Medicine Doctors in Tyler, TX

Ifeatu Uchenna Oti, MD
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Phone: 903-595-5486    Fax: 903-595-5128
Preetham Reddy Muskula, MD
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Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701
Phone: 903-595-5514    Fax: 903-262-3715
Dr. Varalaxmi Bhavani Nannaka, M.D.
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David A Brickey, DO
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Randy Craig Randall, MD
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Phone: 903-595-2283    Fax: 903-595-1063
Nabeel K Ahmed, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1133 Medical Dr, Tyler, TX 75701
Phone: 903-595-5486    Fax: 903-595-5128
Rodolfo Amaro-galvez, MD
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Medicare: Medicare Enrolled
Practice Location: 11937 Us Highway 271, Tyler, TX 75708
Phone: 903-877-7072    Fax: 903-877-5838

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.