NPIMap

Individual provider Active NPI

Eric Carl Pearson, MD

  • Family Medicine Physician
  • East Grand Forks, MN
National Provider Identifier
1003835984
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49213 Issued in MN
Practice address
929 Central Ave NW
East Grand Forks, MN 56721-1917
Phone
(218) 773-6800
NPI assigned
Jul 19, 2006
Last updated
Nov 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9879 ND
Family Medicine Physician 207Q00000X 49213 MN Primary

Addresses

Primary practice location

929 Central Ave NW
East Grand Forks, MN 56721-1917

Mailing address

929 Central Ave NW
East Grand Forks, MN 56721-1917
Phone (218) 773-6800

Other identifiers 7

IdentifierTypeStateIssuer
27032OtherNDBCBS
488P7PEOtherMNBCBS
999643500MedicaidMN
0124339OtherMEDICA
HP69865OtherHEALTHPARTNERS
NA4571045037OtherPREFERRED ONE
13492MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050726000487 ND Practitioner - Family Practice 7719914217 Reassigns benefits to 2 organizations
I20060823000369 MN Practitioner - Family Practice 7719914217 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians

Practice addresses (Care Compare)

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-4348

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

1412 Main St
Hawley, MN 56549
Phone (218) 483-3564

400 E 1St St
Morris, MN 56267-1408
Phone (320) 589-1313

618 14TH Ave NE
Devils Lake, ND 58301-2808
Phone (701) 544-7000

929 Central Ave NW
East Grand Forks, MN 56721-1917
Phone (218) 773-6800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49213MNMDFamily Medicine Physician
9879NDMDFamily Medicine Physician
102546MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph's Area Health Services CurrentSince Mar 31, 2024 Accepting new patients
St. Joseph's Area Health Services CurrentSince Mar 31, 2024 Accepting new patients
Sanford Health Network North Current Accepting new patients
Swift County Benson Hospital Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Swift County-Benson Hospital Current Accepting new patients
Sanford Medical Center Fargo Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Sanford Health Network North CurrentSince Apr 4, 2018 Accepting new patients
Stevens Community Medical Center Inc Family Medicine CurrentSince Sep 25, 2024 Accepting new patients
Sanford Health Network North Current Accepting new patients
Sanford Health Network North CurrentSince Feb 1, 2019 Accepting new patients
Stevens Community Medical Center Inc. Current Accepting new patients
Sanford Medical Center Fargo CurrentSince Jul 1, 2022 Accepting new patients
Swift County Benson Hospital CurrentSince Oct 1, 2020 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Sep 25, 2024 Accepting new patients
Center for Psychiatric Care PastSince Aug 28, 2000 Accepting new patients
Altru Health System Past Accepting new patients
Sanford Medical Center Fargo Past Accepting new patients

Locations

3314 Solutions Ctr
Chicago, IL 60677

1815 Wisconsin Ave
Benson, MN 56215
Phone (320) 843-3454

929 Central Ave NW
East Grand Forks, MN 56721
Phone (218) 773-5932

414 W Jefferson Ave
Mahnomen, MN 56557
Phone (218) 935-2511

4000 28th Ave S
Moorhead, MN 56560
Phone (701) 234-3200

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

600 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-3311

1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747

3001 Sanford Pkwy
Thief Rvr Fls, MN 56701
Phone (218) 681-4240

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

407 Washington Ave E
Finley, ND 58230
Phone (701) 524-1005

42 6th Ave SE
Mayville, ND 58257
Phone (701) 786-3800

600 1st St SE
Mayville, ND 58257
Phone (701) 786-4500

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Interoperability endpoints

  • Direct secure messaging: epearson417462@direct.centracare.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1003835984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 CENTRAL AVE NW",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211917",
            "telephone_number": "218-773-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 CENTRAL AVE NW",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211917",
            "telephone_number": "218-773-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "ERIC",
        "middle_name": "CARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "9879",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "49213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "27032",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "488P7PE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999643500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0124339",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP69865",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "NA4571045037",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13492",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Grand Forks, MN

Sources for this page

Verify at the official NPI Registry.