NPIMap

Individual provider Active NPI

Kevin E Sherlock, M.D.

  • Emergency Medicine Physician
  • Rockport, TX
National Provider Identifier
1801876602
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G0833 Issued in TX
Practice address
1325 Broadway St
Rockport, TX 78382-3333
Phone
(361) 729-0646
Fax
(361) 729-8854
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G0833 TX Primary
Family Medicine Physician 207Q00000X G0833 TX

Addresses

Primary practice location

1325 Broadway St
Rockport, TX 78382-3333

Mailing address

1325 Broadway St
Rockport, TX 78382-3333
Phone (361) 729-0646

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

State licenses

LicenseStateTypeSpecialty
G0833TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glen Rose Medical Foundation Inc. Emergency Medicine Past Accepting new patients
Texan Star Emergency Physicians PLLC Emergency Medicine PastSince Jan 19, 2025 Accepting new patients
Bellville Medical Center Family Medicine PastSince Aug 6, 2019 Accepting new patients
Texas Emergency Room Services PA Emergency Medicine Past Accepting new patients
Camino Real Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Etex Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Trinity Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Glen Rose Medical Foundation Emergency Medicine Past Accepting new patients
Bellville Hospital District Emergency Medicine Past Accepting new patients
Emergency Physicians of West Bluff PLLC Emergency Medicine PastSince Jan 19, 2025 Accepting new patients

Organizations & group practices 10

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1801876602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 BROADWAY ST",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823333",
            "telephone_number": "361-729-0646",
            "fax_number": "361-729-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 BROADWAY ST",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823333",
            "telephone_number": "361-729-0646",
            "fax_number": "361-729-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERLOCK",
        "first_name": "KEVIN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "G0833",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G0833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.