Individual provider Active NPI

Davelyn Eaves Hood, MD

  • Family Medicine Physician
  • Bryan, TX
National Provider Identifier
1831259399
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K6965 Issued in TX
Practice address
3370 South Texas Avenue
Suite B
Bryan, TX 77802
Phone
(979) 595-1700
NPI assigned
Dec 12, 2006
Last updated
Nov 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K6965 TX Primary

Addresses

Primary practice location

3370 South Texas Avenue
Suite B
Bryan, TX 77802

Mailing address

2407 Norham Dr
College Station, TX 77845-4884
Phone (979) 251-1468

Other identifiers 13

IdentifierTypeStateIssuer
1275726853OtherCOLLEGE STATION CHC NPI
1750470084OtherMADISON CHC NPI
000951608MedicaidTX
1700973187OtherGRIMES CHC NPI
1649265646OtherBRYAN-COLLEGE STATION CHC NPI
154467801MedicaidTX
154467803MedicaidTX
185649401MedicaidTX
187842301MedicaidTX
000951607MedicaidTX
1275620551OtherROBERTSON CHC NPI
1568519122OtherLEON CHC NPI
1821185299OtherTXBVCAA, INC. AGENCY NPI

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 Medicine

State licenses

LicenseStateTypeSpecialty
K6965TXMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: davelyn.zzzhood@hptx.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1831259399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 NORHAM DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454884",
            "telephone_number": "979-251-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 SOUTH TEXAS AVENUE",
            "address_2": "SUITE B",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "77802",
            "telephone_number": "979-595-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOD",
        "first_name": "DAVELYN",
        "middle_name": "EAVES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K6965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLLEGE STATION CHC NPI",
            "identifier": "1275726853",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MADISON CHC NPI",
            "identifier": "1750470084",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000951608",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRIMES CHC NPI",
            "identifier": "1700973187",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRYAN-COLLEGE STATION CHC NPI",
            "identifier": "1649265646",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154467801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154467803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185649401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187842301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000951607",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROBERTSON CHC NPI",
            "identifier": "1275620551",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEON CHC NPI",
            "identifier": "1568519122",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BVCAA, INC. AGENCY NPI",
            "identifier": "1821185299",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.