Individual provider Active NPI

Robert Nelson Earle, MD

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1750506986
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
K0291 Issued in TX
Practice address
1002 Gemini St
Suite 205
Houston, TX 77058-2746
Phone
(281) 218-8181
Fax
(281) 218-7676
NPI assigned
Apr 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X K0291 TX Primary

Addresses

Primary practice location

1002 Gemini St
Suite 205
Houston, TX 77058-2746

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
260051483OtherTXPALMETTO GPA RAIL ROAD MEDICARE
0016BWOtherTXBC/BS
113329004MedicaidTX

Other names 1

  • Robert Nelson Earle Professional name

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
I20040803001460 TX Practitioner - Psychiatry 8325019300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical School at Houston, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert N Earle MD PAGroup PAC ID 9032180971, 5 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert N Earle MD PA Psychiatry CurrentSince Jun 1, 2002 Accepting new patients
Bay Area Clinical Services PA PastSince Nov 21, 2006 Accepting new patients
The Gulf Coast Center Psychiatry PastSince Apr 9, 2009 Accepting new patients
Medical Psychology Associates, PC PastSince Nov 13, 1991 Accepting new patients
Bay Area Psychiatry Group PLLC PastSince May 26, 2024 Accepting new patients

Locations

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

1002 Gemini St
Ste 205
Houston, TX 77058
Phone (281) 218-8181

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": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1750506986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 GEMINI ST",
            "address_2": "SUITE 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582746",
            "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": "1002 GEMINI ST",
            "address_2": "SUITE 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582746",
            "telephone_number": "281-218-8181",
            "fax_number": "281-218-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLE",
        "first_name": "ROBERT",
        "middle_name": "NELSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K0291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GPA RAIL ROAD MEDICARE",
            "identifier": "260051483",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0016BW",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113329004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "EARLE",
            "middle_name": "NELSON",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.