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DR. BRENT WADE DAVIS D.O.
NPI 1619009859
Family Medicine in Weleetka, OK

Active since March 12, 2007PECOS Enrolled
315 W. 9 STREET, WELEETKA, OK 74880(405) 786-2248(405) 786-2006 Get Directions Write a Review

NPPES record last updated: July 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brent Wade Davis D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRENT WADE DAVIS D.O. (NPI 1619009859) is an individual family medicine provider in Weleetka, Oklahoma, licensed in Oklahoma (1913) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619009859
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BRENT WADE DAVISCredential: D.O.
Location Address315 W. 9 STREETWeleetka, OK 74880-0337
Mailing AddressPo Box 207Henryetta, OK 74437-0207 · (405) 786-2248 · Fax (405) 786-2006
Phone(405) 786-2248
Fax(405) 786-2006
Sole ProprietorNo
Enumeration DateMarch 12, 2007
Last NPPES UpdateJuly 8, 2011
✔ NPI 1619009859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 1913
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
315 W. 9 STREET, Weleetka, OK 74880
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Other Identifiers 3

Medicaid100743630BOK
Medicare UPIND38530OK
Medicaid100743630AOK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brent Wade Davis D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74880 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Davis's NPI number?

The NPI number for Brent Davis is 1619009859. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Brent Davis located?

Brent Davis practices at 315 W. 9 Street, Weleetka, OK 74880. The listed phone number is (405) 786-2248.

What is Brent Davis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Brent Davis enrolled in Medicare?

Yes. Brent Davis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brent Davis was last updated on July 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.