Active NPI
Gary Edward Beven, M.D.
- Psychiatry Physician
- Houston, TX
National Provider Identifier
1699753764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M3912
- Practice address
- 2101 Nasa Pkwy
Mail Code SD12, Nasa Johnson Space Center
Houston, TX 77058 - Phone
- (281) 483-1021
- NPI assigned
- Jan 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0030897 | CO | |
| Psychiatry Physician | 2084P0800X | MD16407 | ME | |
| Psychiatry Physician | 2084P0800X | 35-06-0313 | OH | |
| Psychiatry Physician | 2084P0800X | M3912 | TX | Primary |
Addresses
Primary practice location
2101 Nasa Pkwy
Mail Code SD12, Nasa Johnson Space Center
Houston, TX 77058
Mailing address
1807 Trail VW
Friendswood, TX 77546-7829
Phone (281) 996-7665
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 |
|---|---|---|---|
| 0030897 | CO | MD | Psychiatry Physician |
| MD16407 | ME | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1699753764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 TRAIL VW",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775467829",
"telephone_number": "281-996-7665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 NASA PKWY",
"address_2": "MAIL CODE SD12, NASA JOHNSON SPACE CENTER",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77058",
"telephone_number": "281-483-1021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVEN",
"first_name": "GARY",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "0030897",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ME",
"license": "MD16407",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35-06-0313",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "M3912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.