| Chevelle Brudey Md Pllc | |
|
14275 Midway Rd Ste 200 Addison TX 75001-3618 | |
| (214) 420-9301 | |
| (659) 903-2614 |
| Full Name | Chevelle Brudey Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 14275 Midway Rd Ste 200, Addison, Texas |
| Authorized Official Name and Position | Chevelle Brudey (PSYCHIATRIST) |
| Authorized Official Contact | 8888061928 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chevelle Brudey Md Pllc Po Box 797182 Dallas TX 75379-7182 Ph: (214) 420-9301 | Chevelle Brudey Md Pllc 14275 Midway Rd Ste 200 Addison TX 75001-3618 Ph: (214) 420-9301 |
| NPI Number | 1326829094 |
|---|---|
| Provider Enumeration Date | 10/10/2023 |
| Last Update Date | 05/21/2024 |
| Certification Date | 05/21/2024 |
| Medicare PECOS PAC ID | 9032566195 |
|---|---|
| Medicare Enrollment ID | O20231110000779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326829094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Chevelle S H Brudey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902064587 PECOS PAC ID: 8022239953 Enrollment ID: I20141017002119 |
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