Active NPI
Gulf Coast Neuro Monitoring PA
- Clinical Neurophysiology Physician
- Friendswood, TX
National Provider Identifier
1124267687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- Legal business name
- GULF COAST NEURO MONITORING PA
- Practice address
- 308 W Parkwood Ave
Suite 106
Friendswood, TX 77546-5478 - Phone
- (832) 487-7722
- Fax
- (713) 943-0167
- NPI assigned
- Feb 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jerry M Keepers, MD
- Title
- President
- Phone
- (832) 487-7722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | TX | Primary |
Addresses
Primary practice location
308 W Parkwood Ave
Suite 106
Friendswood, TX 77546-5478
Mailing address
308 W Parkwood Ave
Suite 106
Friendswood, TX 77546-5478
Phone (832) 487-7722
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233878400000",
"number": "1124267687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 W PARKWOOD AVE",
"address_2": "SUITE 106",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775465478",
"telephone_number": "832-487-7722",
"fax_number": "713-943-0167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 W PARKWOOD AVE",
"address_2": "SUITE 106",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775465478",
"telephone_number": "832-487-7722",
"fax_number": "713-943-0167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULF COAST NEURO MONITORING PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-06",
"last_updated": "2009-02-06",
"status": "A",
"authorized_official_last_name": "KEEPERS",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "832-487-7722",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Friendswood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.