Active NPI
Damyanti S Patel, M.D.
- Pediatrics Physician
- Bryan, TX
National Provider Identifier
1114983178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- F6067
- Practice address
- 1201A Briarcrest Dr
Bryan, TX 77802-5223 - Phone
- (979) 776-9400
- Fax
- (979) 774-8903
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | F6067 | TX | Primary |
Addresses
Primary practice location
1201A Briarcrest Dr
Bryan, TX 77802-5223
Mailing address
1402 Essex GRN
College Station, TX 77845-8349
Phone (979) 696-1231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AQ91 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F6067 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Physician Associates | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114983178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 ESSEX GRN",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778458349",
"telephone_number": "979-696-1231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201A BRIARCREST DR",
"city": "BRYAN",
"state": "TX",
"postal_code": "778025223",
"telephone_number": "979-776-9400",
"fax_number": "979-774-8903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DAMYANTI",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "F6067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AQ91",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.