Active NPI
Davelyn Eaves Hood, MD
- Family Medicine Physician
- Bryan, TX
National Provider Identifier
1831259399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K6965
- Practice address
- 3370 South Texas Avenue
Suite B
Bryan, TX 77802 - Phone
- (979) 595-1700
- NPI assigned
- Dec 12, 2006
- Last updated
- Nov 4, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275726853 | Other | COLLEGE STATION CHC NPI | |
| 1750470084 | Other | MADISON CHC NPI | |
| 000951608 | Medicaid | TX | |
| 1700973187 | Other | GRIMES CHC NPI | |
| 1649265646 | Other | BRYAN-COLLEGE STATION CHC NPI | |
| 154467801 | Medicaid | TX | |
| 154467803 | Medicaid | TX | |
| 185649401 | Medicaid | TX | |
| 187842301 | Medicaid | TX | |
| 000951607 | Medicaid | TX | |
| 1275620551 | Other | ROBERTSON CHC NPI | |
| 1568519122 | Other | LEON CHC NPI | |
| 1821185299 | Other | TX | BVCAA, 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
| License | State | Type | Specialty |
|---|---|---|---|
| K6965 | TX | MD | Family Medicine Physician |
Interoperability endpoints
- 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.