Active NPI
Gabriela Devries, M.D.
- Otolaryngology Physician
- Fort Sam Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- U5678
- Practice address
- 3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504 - Phone
- (210) 539-9582
- NPI assigned
- Mar 22, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD477015 | PA | |
| Otolaryngology Physician | 207Y00000X | 0101282109 | VA | |
| Otolaryngology Physician | 207Y00000X | U5678 | TX | Primary |
Addresses
Primary practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Other practice location 1
1100 Wilford Hall Loop
Whasc
Lackland Air Force Base, TX 78236
Phone (210) 292-4277
Other practice location 2
4348 Electric Rd
Roanoke, VA 24018-0720
Phone (540) 769-0700
Other practice location 3
3400 Civic Center Blvd Fl 3
Philadelphia, PA 19104-5127
Phone (215) 316-5151
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD477015 | PA | MD | Otolaryngology Physician |
| U5678 | TX | MD | Otolaryngology Physician |
| 0101282109 | VA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients |
Locations
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
4348 Electric Rd
Roanoke, VA 24018
Phone (540) 769-0600
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1619408622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-539-9582"
}
],
"practiceLocations": [
{
"address_1": "1100 Wilford Hall Loop",
"address_2": "WHASC",
"address_purpose": "LOCATION",
"city": "Lackland Air Force Base",
"state": "TX",
"postal_code": "78236",
"country_code": "US",
"telephone_number": "210-292-4277",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4348 Electric Rd",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240180720",
"country_code": "US",
"telephone_number": "540-769-0700",
"fax_number": "540-772-8159",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3400 Civic Center Blvd Fl 3",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191045127",
"country_code": "US",
"telephone_number": "215-316-5151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEVRIES",
"first_name": "GABRIELA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-22",
"last_updated": "2024-08-21",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "MD477015",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "VA",
"license": "0101282109",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "U5678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.