BRIAN ANTHONY DAVENPORT (CRNP) – Nurse Practitioner, NPI 1265085880

BRIAN ANTHONY DAVENPORT (CRNP) is a healthcare provider. based in Muscle shoals, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-145737 (AL). The NPI Number for BRIAN ANTHONY DAVENPORT (CRNP) is 1265085880

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN ANTHONY DAVENPORT (CRNP)
NPI
1265085880
Phone
(256) 386-0808
Address
2400 AVALON AVE
Enumeration Date
23 July 2019
Last Update Date
3 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2563860808
Graduation Year
2019 (7 years ago)
PAC ID
0547694218
Group Practice PAC ID
3678566189
Professional Enrollment ID
I20200106001685
Address ID
AL356613283MU2410XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for BRIAN ANTHONY DAVENPORT (CRNP)

  • Avalon Avenue, Muscle Shoals, Colbert County, Alabama, 35660, United States

    MUSCLE SHOALS, AL 356613187

    Phone: (256) 386-0808

    Fax: (256) 389-3354

    Type: Location

  • PO BOX 2550

    MUSCLE SHOALS, AL 356622550

    Phone: (256) 386-0808

    Fax: (256) 389-3554

    Type: Mailing

  • 2410 AVALON AVE

    MUSCLE SHOALS, AL 356613283

    Phone: (256) 386-0808

    Fax: (256) 389-3354

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 109 Open Payments records for all available years, with a total value of $1,347.

Total Amount is formed as General ($1,347) + Research ($0) + Ownership ($0) = $1,347.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Novo Nordisk Inc ($726).

Total Amount

$1,347

General + Research + Ownership

Payments

109

Total payment records

General Amount

$1,347

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200106001685INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes223149$0
G0447Face-to-face behavioral counseling for obesity, 15 minutes10682$0
80053Blood test, comprehensive group of blood chemicals6764$0
83525Insulin measurement, total6764$0
80061Blood test, lipids (cholesterol and triglycerides)6664$0
View full utilization report →

Insurance plans in this area (ZIP 35661)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678566189View full group profile
NameSpecialtyState
Nurse PractitionerAL
Family PracticeAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
-AL
Nurse PractitionerAL
Family PracticeAL
Internal MedicineAL

Reviews

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Frequently asked questions

What federal number belongs to BRIAN ANTHONY DAVENPORT (CRNP)?
The federal identifier for BRIAN ANTHONY DAVENPORT (CRNP) is NPI 1265085880.
Is BRIAN ANTHONY DAVENPORT (CRNP)'s NPI currently valid?
The extract we use shows BRIAN ANTHONY DAVENPORT (CRNP) as active.
What does BRIAN ANTHONY DAVENPORT (CRNP) treat or focus on?
Patients typically see BRIAN ANTHONY DAVENPORT (CRNP) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is BRIAN ANTHONY DAVENPORT (CRNP)'s primary listing?
We display Muscle Shoals, Alabama because that is what the record indicates for BRIAN ANTHONY DAVENPORT (CRNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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