Individual provider Active NPI

Richard Devaul, M.D.

  • Psychiatry Physician
  • Bryan, TX
National Provider Identifier
1952313629
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E2187 Issued in TX
Practice address
1301 Memorial Dr Ste 200
Bryan, TX 77802-5201
Phone
(979) 862-4465
Fax
(979) 774-6603
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E2187 TX Primary

Addresses

Primary practice location

1301 Memorial Dr Ste 200
Bryan, TX 77802-5201

Mailing address

1301 Memorial Dr Ste 200
Bryan, TX 77802-5201
Phone (979) 862-4465

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas a&M University System Health Science Center PastSince Sep 27, 2020 Accepting new patients
Texas a&M University System Health Science Center Past Accepting new patients
Family Practice Foundation of the Brazos Valley Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952313629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MEMORIAL DR STE 200",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025201",
            "telephone_number": "979-862-4465",
            "fax_number": "979-774-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MEMORIAL DR STE 200",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025201",
            "telephone_number": "979-862-4465",
            "fax_number": "979-774-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVAUL",
        "first_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "E2187",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.