Active NPI
Ralph Purcell Pearce, M.D.
- Specialist
- Shenandoah, TX
National Provider Identifier
1144205501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G4376
- Practice address
- 129 Vision Park Blvd
# 307
Shenandoah, TX 77384-3023 - Phone
- (936) 321-5440
- Fax
- (936) 271-3705
- NPI assigned
- Dec 8, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | G4376 | TX | Primary |
Addresses
Primary practice location
129 Vision Park Blvd
# 307
Shenandoah, TX 77384-3023
Mailing address
129 Vision Park Blvd
# 307
Shenandoah, TX 77384-3023
Phone (936) 321-5440
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00EQ60 | Other | TX | BCBS |
| 098185403 | Medicaid | TX | |
| 100016534 | Other | TX | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1144205501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 VISION PARK BLVD",
"address_2": "# 307",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773843023",
"telephone_number": "936-321-5440",
"fax_number": "936-271-3705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 VISION PARK BLVD",
"address_2": "# 307",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773843023",
"telephone_number": "936-321-5440",
"fax_number": "936-271-3705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARCE",
"first_name": "RALPH",
"middle_name": "PURCELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-08",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "G4376",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00EQ60",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "098185403",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "100016534",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.