Individual provider Active NPI

Tad Michael Shirley, MD

  • Pediatrics Physician
  • Spring, TX
National Provider Identifier
1295716777
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L2007 Issued in TX
Practice address
18603 Champion Forest Dr
Spring, TX 77379-5326
Phone
(281) 374-8882
Fax
(281) 374-8886
NPI assigned
Nov 10, 2005
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L2007 TX Primary

Addresses

Primary practice location

18603 Champion Forest Dr
Spring, TX 77379-5326

Mailing address

18603 Champion Forest Dr
Spring, TX 77379-5326
Phone (281) 374-8882

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

LicenseStateTypeSpecialty
L2007TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Familyfirstpediatrics, P.a. Pediatrics CurrentSince Jun 14, 2020 Accepting new patients

Locations

8714 Spring Cypress Rd
Ste 170
Spring, TX 77379
Phone (281) 374-8882

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1295716777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18603 CHAMPION FOREST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773795326",
            "telephone_number": "281-374-8882",
            "fax_number": "281-374-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18603 CHAMPION FOREST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773795326",
            "telephone_number": "281-374-8882",
            "fax_number": "281-374-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "TAD",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L2007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.