Active NPI
Gurney Fields Pearsall Sr., M.D.,F.A.A.P.
- Pediatrics Physician
- Houston, TX
National Provider Identifier
1104994730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D3518
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121514702 | Medicaid | TX | |
| 121514701 | Medicaid | TX | |
| 145015701 | Medicaid | TX | |
| 25284 | Other | TX | AMERIGROUP |
| 84Z311 | Other | TX | BLU CROSS & BLUE SHEILD |
| 121514703 | Medicaid | TX | |
| 121514705 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| D3518 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1427225952
-
- Pediatrics Physician
- Houston, TX
- NPI 1831374313
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.