Individual provider Active NPI

Jerry Brooksher Gee II, MD

  • Neonatal-Perinatal Medicine Physician
  • Houston, TX
National Provider Identifier
1174610463
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
K0041 Issued in TX
Practice address
5615 Kirby Drive
Suite 440
Houston, TX 77005
Phone
(713) 796-0003
Fax
(713) 796-0005
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X K0041 TX Primary
Neonatal-Perinatal Medicine Physician 2080N0001X MD020328 LA

Addresses

Primary practice location

5615 Kirby Drive
Suite 440
Houston, TX 77005

Mailing address

PO Box 270898
Houston, TX 77277-0898
Phone (713) 796-0003

Other identifiers 1

IdentifierTypeStateIssuer
84776XOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181024002522 TX Practitioner - Pediatric Medicine 3870846678 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD020328LAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Family Medicine CurrentSince Sep 13, 2018 Accepting new patients
Ut Physicians CurrentSince Sep 13, 2018 Accepting new patients
Medical Center Neonatal Assoc PA Neonatal-Perinatal Medicine Past Accepting new patients
Memorial Hermann Health System Past Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

10905 Memorial Hermann Dr
Pearland, TX 77584
Phone (713) 486-6000

Organizations & group practices 5

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174610463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270898",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772770898",
            "telephone_number": "713-796-0003",
            "fax_number": "713-796-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 KIRBY DRIVE",
            "address_2": "SUITE 440",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77005",
            "telephone_number": "713-796-0003",
            "fax_number": "713-796-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEE",
        "first_name": "JERRY",
        "middle_name": "BROOKSHER",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "K0041",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "LA",
            "license": "MD020328",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "84776X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.