Organization Active NPI

Chevelle Brudey MD PLLC

  • Psychiatry Physician
  • Addison, TX
National Provider Identifier
1326829094
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CHEVELLE BRUDEY MD PLLC
Practice address
14275 Midway Rd Ste 200
Addison, TX 75001-3618
Phone
(214) 420-9301
Fax
(659) 903-2614
NPI assigned
Oct 10, 2023
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Chevelle Brudey, MDNPI 1902064587
Title
Psychiatrist
Phone
(888) 806-1928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

14275 Midway Rd Ste 200
Addison, TX 75001-3618

Mailing address

PO Box 797182
Dallas, TX 75379-7182
Phone (214) 420-9301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231110000779 TX Part B Supplier - Clinic/Group Practice 9032566195 Receives reassigned benefits from 2 practitioners
Practice locations: Addison, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1326829094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797182",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753797182",
            "telephone_number": "214-420-9301",
            "fax_number": "659-903-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD STE 200",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013618",
            "telephone_number": "214-420-9301",
            "fax_number": "659-903-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEVELLE BRUDEY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "BRUDEY",
        "authorized_official_first_name": "CHEVELLE",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "888-806-1928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.