John H Pulliam Jr., M.D

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

H0737 Issued in TX

Practice address

200 E Evergreen St
Sherman, TX 75090-5056

Phone

(903) 957-3230

Fax

(903) 957-4046

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpulliam184473@directb.mercy.net
• FHIR API: https://api.platform.athenahealth.com/18000/brand/1/csg/1/fhir/r4

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.

• Frio Hospital Association

  • Critical Access Hospital Clinic/Center
  • Pearsall, TX
  • NPI 1952308132
  Medicare reassignment NPD
• Neurologic & Spine Institute

  • Neurological Surgery Physician
  • Sherman, TX
  • NPI 1861609018
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1710923388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E EVERGREEN ST",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750905056",
            "telephone_number": "903-957-3230",
            "fax_number": "903-957-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E EVERGREEN ST",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750905056",
            "telephone_number": "903-957-3230",
            "fax_number": "903-957-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "JOHN",
        "middle_name": "H",
        "name_suffix": "Jr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "H0737",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AR",
            "license": "E-6727",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3284675",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "140002115",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0451684-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primary Medicine of Sherman PA
• Prime Neurosurgery PLLC
• Prince ABA Consulting
• PT Concepts of Sherman, LLC
• Jon Phillip Pulis, RPH
• Pulmonary and Sleep PA
• Pulmonary Diagnostics & Therapeutics PC
• Lauren Taylor Purdom
• Purify Dental of Sherman PLLC
• Pyramid Pain and Rehab P.a.

• Neurological Surgery Physician in Sherman, TX
• Providers in Sherman, TX by specialty
• Neurological Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.

Verify at the official NPI Registry.