Active NPI
Devry Calvin Anderson, M.D.
- Family Medicine Physician
- Harker HTS, TX
National Provider Identifier
1578753877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N3448
- Practice address
- 708 Bullwhip Cir
Harker HTS, TX 76548-2435 - Phone
- (254) 690-4994
- NPI assigned
- Aug 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 01059072A | IN | |
| Family Medicine Physician | 207Q00000X | N3448 | TX | Primary |
Addresses
Primary practice location
708 Bullwhip Cir
Harker HTS, TX 76548-2435
Mailing address
708 Bullwhip Cir
Harker HTS, TX 76548-2435
Phone (254) 690-4994
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01059072A | IN | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336694400000",
"number": "1578753877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 BULLWHIP CIR",
"city": "HARKER HTS",
"state": "TX",
"postal_code": "765482435",
"telephone_number": "254-690-4994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 BULLWHIP CIR",
"city": "HARKER HTS",
"state": "TX",
"postal_code": "765482435",
"telephone_number": "254-690-4994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "DEVRY",
"middle_name": "CALVIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-01",
"last_updated": "2012-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "IN",
"license": "01059072A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N3448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harker HTS, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.