NPIMap

Organization Active NPI

Robert N Earle MD PA

  • Psychiatry Physician
  • Friendswood, TX
National Provider Identifier
1508848649
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
K0291 Issued in TX
Legal business name
ROBERT N EARLE MD PA
Practice address
1560 W Bay Area Blvd Ste 210
Friendswood, TX 77546-2669
Phone
(281) 218-8181
Fax
(281) 218-7676
NPI assigned
Nov 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Robert N Earle, MDNPI 1750506986
Title
Ceo
Phone
(281) 218-8181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X K0291 TX Primary

Addresses

Primary practice location

1560 W Bay Area Blvd Ste 210
Friendswood, TX 77546-2669

Mailing address

1560 W Bay Area Blvd Ste 210
Friendswood, TX 77546-2669
Phone (281) 218-8181

Other practice location 1

1002 Gemini Ave.
Suite 205
Houston, TX 77058-2746
Phone (281) 218-8181

Other identifiers 2

IdentifierTypeStateIssuer
154460301MedicaidTX
0031QVOtherTXBC/BS OF TEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040804000159 TX Part B Supplier - Clinic/Group Practice 9032180971 Receives reassigned benefits from 5 practitioners
Practice locations: Friendswood, TX

National Provider Directory

National Provider Directory

Locations

1560 W Bay Area Blvd
Ste 210
Friendswood, TX 77546
Phone (281) 218-8181

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1508848649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 W BAY AREA BLVD STE 210",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775462669",
            "telephone_number": "281-218-8181",
            "fax_number": "281-218-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 W BAY AREA BLVD STE 210",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775462669",
            "telephone_number": "281-218-8181",
            "fax_number": "281-218-7676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 Gemini Ave.",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770582746",
            "country_code": "US",
            "telephone_number": "281-218-8181",
            "fax_number": "281-218-7676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROBERT N EARLE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "EARLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-218-8181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K0291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154460301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "0031QV",
            "state": "TX"
        }
    ],
    "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 Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.