BRENT O'BRYAN DAVIS (MD) – Interventional Cardiology Physician, NPI 1871588012

BRENT O'BRYAN DAVIS (MD) is a healthcare provider. based in Tyler, Texas. specializing in INTERVENTIONAL CARDIOLOGY. They hold the professional credentials MD. They hold a License No. L8663 (TX). The NPI Number for BRENT O'BRYAN DAVIS (MD) is 1871588012

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
BRENT O'BRYAN DAVIS (MD)
NPI
1871588012
Phone
(903) 595-5514
Address
619 S FLEISHEL AVE
Enumeration Date
14 September 2005
Last Update Date
26 April 2017

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
9039465442
Graduation Year
1997 (29 years ago)
PAC ID
4587636048
Group Practice PAC ID
5597029272
Professional Enrollment ID
I20040806000466
Address ID
TX756864289PI2701XNXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

780 INTERVENTIONAL CARDIOLOGY in TX

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Provider Addresses for BRENT O'BRYAN DAVIS (MD)

  • 619, South Fleishel Avenue, Tyler, Smith County, Texas, 75701, United States

    SUITE 101

    TYLER, TX 757012004

    Phone: (903) 595-5514

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 69 Open Payments records for all available years, with a total value of $1,956.

Total Amount is formed as General ($1,956) + Research ($0) + Ownership ($0) = $1,956.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($872).

Total Amount

$1,956

General + Research + Ownership

Payments

69

Total payment records

General Amount

$1,956

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2004-08-06

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
I20040806000466IInterventional CardiologyTXTBD

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
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report674516$0
99214Established patient office or other outpatient visit, 30-39 minutes602477$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function453445$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only366331$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes248139$0
View full utilization report →

Insurance plans in this area (ZIP 75701)

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Provider's Procedures

BRENT O'BRYAN DAVIS (MD) performs procedures in INTERVENTIONAL CARDIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYTX78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies265265
INTERVENTIONAL CARDIOLOGYTX85610Blood test, clotting time260119
INTERVENTIONAL CARDIOLOGYTX93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1022869
INTERVENTIONAL CARDIOLOGYTX93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart2121

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: 5597029272View full group profile
NameSpecialtyState
Family PracticeTX
Physician AssistantTX
Family PracticeTX
Nurse PractitionerTX
Family PracticeTX
Pediatric MedicineTX
-TX
Nurse PractitionerTX
-TX
Family PracticeTX

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Frequently asked questions

What is BRENT O'BRYAN DAVIS (MD)'s NPI number?
BRENT O'BRYAN DAVIS (MD)'s NPI is 1871588012 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to BRENT O'BRYAN DAVIS (MD)?
You should see BRENT O'BRYAN DAVIS (MD) as active in CMS-hosted NPPES data.
What area of care is associated with BRENT O'BRYAN DAVIS (MD)?
BRENT O'BRYAN DAVIS (MD)'s record emphasizes Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRENT O'BRYAN DAVIS (MD)?
Travel planning: use Tyler, Texas as the reference point for BRENT O'BRYAN DAVIS (MD), then confirm.
Can I trust this NPI listing for BRENT O'BRYAN DAVIS (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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