DR. DEVAN BLAINE MOODY M.D. NPI 1063947794

NPI Information

  • NPI: 1063947794
  • Provider Name: DR. DEVAN BLAINE MOODY, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5000 HENNESSY BLVD
    BATON ROUGE, LA
    ZIP 70808
  • Phone: (225) 765-6565

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NPI Details

DR. Devan Blaine Moody, M.D. is a diagnostic radiology radiology in Baton Rouge, LA with 8 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Devan Blaine Moody, M.D. NPI is 1063947794. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year:2017

The provider's business location address is:

5000 HENNESSY BLVD
BATON ROUGE, LA
ZIP 70808-375
Phone: (225) 765-6565

The NPI 1063947794 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/1/2017 and was last updated on 9/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramLOUISIANANo
22085R0202XRadiologyDiagnostic Radiology333318LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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