Individual provider Active NPI

Gerald R. Deves, D.O.

  • General Practice Physician
  • Montgomery City, MO
National Provider Identifier
1528044153
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
32584 Issued in MO
Practice address
240 Pickering St
Montgomery City, MO 63361-1967
Phone
(573) 564-2101
Fax
(573) 564-2130
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 32584 MO Primary

Addresses

Primary practice location

240 Pickering St
Montgomery City, MO 63361-1967

Mailing address

240 Pickering St
Montgomery City, MO 63361-1967
Phone (573) 564-2101

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
32584MOMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528044153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 PICKERING ST",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633611967",
            "telephone_number": "573-564-2101",
            "fax_number": "573-564-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 PICKERING ST",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633611967",
            "telephone_number": "573-564-2101",
            "fax_number": "573-564-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVES",
        "first_name": "GERALD",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "32584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery City, MO

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.

Verify at the official NPI Registry.