Donovan York Trudeau, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0102209800 Issued in VA

Practice address

3551 Roger Brooke Dr.
Brooke Army Medical Center, McHe-MDX, Internal Medicine
Jbsa-Fort Sam Houston, TX 78234-4504

Phone

(210) 292-3410

NPI assigned

Mar 6, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1518725423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR.",
            "address_2": "BROOKE ARMY MEDICAL CENTER, MCHE-MDX, INTERNAL MEDICINE",
            "city": "JBSA-FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-292-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR.",
            "address_2": "BROOKE ARMY MEDICAL CENTER, MCHE-MDX, INTERNAL MEDICINE",
            "city": "JBSA-FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-292-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUDEAU",
        "first_name": "DONOVAN",
        "middle_name": "YORK",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-06",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0102209800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ekaterina Aldonza Tangog, DO
• Jason M Thomas, MD
• Amanda Delise Torres, DO
• Contessa Ariel Tracy, PSY.D
• Bao Quoc Tran, MD
• Maria Elena Villanueva, LCSW
• Kyle Ruben Walker, D.O.
• Lisa Marie Weeks, MD
• Edward George Wilks, PSY.D.
• Alexander Williams, MD

• General Practice Physician in Jbsa-Fort Sam Houston, TX
• Providers in Jbsa-Fort Sam Houston, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.