Individual provider Active NPI

Chevelle S Brudey, M.D.

  • Psychiatry Physician
  • Addison, TX
National Provider Identifier
1902064587
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
Q0610 Issued in TX
Practice address
14275 Midway Rd Ste 200
Addison, TX 75001-3618
Phone
(214) 420-9301
Fax
(659) 903-2614
NPI assigned
May 30, 2008
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X Q0610 TX
Psychiatry Physician 2084P0800X Q0610 TX Primary
Internal Medicine Physician 207R00000X Q0610 TX

Addresses

Primary practice location

14275 Midway Rd Ste 200
Addison, TX 75001-3618

Mailing address

PO Box 797182
Dallas, TX 75379-7182
Phone (214) 420-9301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141017002119 TX Practitioner - PsychiatryPractitioner - Geriatric PsychiatryPractitioner - Internal Medicine 8022239953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry, Internal Medicine
Education
Tulane University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chevelle Brudey MD PLLCGroup PAC ID 9032566195, 2 clinicians

Practice addresses (Care Compare)

14275 Midway Rd
Suite 200
Addison, TX 75001-3618
Phone (214) 420-9301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Chevelle Brudey MD PLLC Psychiatry CurrentSince Oct 1, 2023 Accepting new patients

Locations

14275 Midway Rd
Ste 200
Addison, TX 75001
Phone (214) 420-9301

Interoperability endpoints

  • Direct secure messaging: chevellebrudeymdpllc.chevellebrudey@157754.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1902064587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797182",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753797182",
            "telephone_number": "214-420-9301",
            "fax_number": "659-903-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD STE 200",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013618",
            "telephone_number": "214-420-9301",
            "fax_number": "659-903-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUDEY",
        "first_name": "CHEVELLE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TX",
            "license": "Q0610",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q0610",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q0610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.