Organization Active NPI

Gulf Coast Neuro Monitoring PA

  • Clinical Neurophysiology Physician
  • Friendswood, TX
National Provider Identifier
1124267687
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
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

Updated by the provider on Feb 6, 2009

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)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.