Individual provider Active NPI

Gurney Fields Pearsall Sr., M.D.,F.A.A.P.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1104994730
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D3518 Issued in TX
Practice address
3003 S Loop W Ste 410
Houston, TX 77054-1383
Phone
(713) 790-9265
Fax
(713) 790-1006
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D3518 TX Primary

Addresses

Primary practice location

3003 S Loop W Ste 410
Houston, TX 77054-1383

Mailing address

3003 S Loop W Ste 410
Houston, TX 77054-1383
Phone (713) 790-9265

Other identifiers 7

IdentifierTypeStateIssuer
121514702MedicaidTX
121514701MedicaidTX
145015701MedicaidTX
25284OtherTXAMERIGROUP
84Z311OtherTXBLU CROSS & BLUE SHEILD
121514703MedicaidTX
121514705MedicaidTX

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D3518TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gurney F. Pearsall MD PA Pediatrics Current Accepting new patients
Gurney F Pearsall Sr MD PA Pediatrics Current Accepting new patients

Locations

7900 Fannin St
Ste 3200
Houston, TX 77054
Phone (713) 790-9265

2010 Naomi St
Ste C
Houston, TX 77054
Phone (713) 790-9265

Organizations & group practices 2

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1104994730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 S LOOP W STE 410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541383",
            "telephone_number": "713-790-9265",
            "fax_number": "713-790-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 S LOOP W STE 410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541383",
            "telephone_number": "713-790-9265",
            "fax_number": "713-790-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSALL",
        "first_name": "GURNEY",
        "middle_name": "FIELDS",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.,F.A.A.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "D3518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121514702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121514701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145015701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "25284",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLU CROSS & BLUE SHEILD",
            "identifier": "84Z311",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121514703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121514705",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.