Active NPI
Jennifer Denise Gray, MD
- Pediatrics Physician
- Pearland, TX
National Provider Identifier
1790798619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M4118
- Practice address
- 2017 Broadway St
Ste. a
Pearland, TX 77581-5501 - Phone
- (281) 485-9990
- Fax
- (281) 485-9469
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M4118 | TX | Primary |
Addresses
Primary practice location
2017 Broadway St
Ste. a
Pearland, TX 77581-5501
Mailing address
2017 Broadway St
Ste. a
Pearland, TX 77581-5501
Phone (281) 485-9990
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearland Pediatric Urgent Care PA | Past | Accepting new patients |
Interoperability endpoints
- gray@pearland.pcc-direct.com
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Pearland, TX
- NPI 1760888119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790798619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2017 BROADWAY ST",
"address_2": "STE. A",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775815501",
"telephone_number": "281-485-9990",
"fax_number": "281-485-9469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 BROADWAY ST",
"address_2": "STE. A",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775815501",
"telephone_number": "281-485-9990",
"fax_number": "281-485-9469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "JENNIFER",
"middle_name": "DENISE",
"name_prefix": "Miss",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M4118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.