Active NPI
Stacy Bernard Pierson, M.D.
- Pediatrics Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K5664
- Practice address
- 1504 Taub Loop
Houston, TX 77030-1608 - Phone
- (713) 873-2000
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME78364 | FL | |
| Pediatrics Physician | 208000000X | K5664 | TX | Primary |
Addresses
Primary practice location
1504 Taub Loop
Houston, TX 77030-1608
Mailing address
2 Greenway PLZ
Suite 900
Houston, TX 77046-0297
Phone (713) 798-1835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257122600 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME78364 | FL | MD | Pediatrics Physician |
| K5664 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Current | Accepting new patients | |
| Texas Children'S Physician Group | Pediatrics | Current | Accepting new patients |
| Baylor College of Medicine | Current | Accepting new patients | |
| Pediatric Physician Services, Inc. | Pediatrics | Past | Accepting new patients |
Locations
8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250
2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
6701 Fannin St
Ste 1420
Houston, TX 77030
Phone (832) 822-4240
1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860
6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866
6651 Main St
Ste F320
Houston, TX 77030
Phone (512) 828-3660
Interoperability endpoints
- spierson38702@prddirect.texaschildrens.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Houston, TX
- NPI 1053352914
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1699725622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 GREENWAY PLZ",
"address_2": "SUITE 900",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770460297",
"telephone_number": "713-798-1835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 TAUB LOOP",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301608",
"telephone_number": "713-873-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERSON",
"first_name": "STACY",
"middle_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME78364",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K5664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257122600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Arnelia Re'NA Pierson, DNPC, APRN, FNP-C
- Dechelle Patrice Pierson, RN, BSN
- Jay Walter Pierson Sr., ATC, LAT, CSCS, PES
- Judith Grace Pierson
- Julie Pierson
- Zuleika Goss Pierson, M.D.
- Marli Elease Pieternelle, MCD CCC-SLP
- Kristina Ama Ankomaba Pieterson, MD
- Andrea Vanessa Pietrangely
- Pigale Healthcare Services, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.