Organization Active NPI

Efigbokwe PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Pearland, TX
National Provider Identifier
1811601230
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
EFIGBOKWE PLLC
Practice address
11041 Shadow Creek Pkwy Ste 121-212
Pearland, TX 77584-7402
Phone
(832) 848-0131
NPI assigned
Jan 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Eberenne IgbokweNPI 1003102732
Title
Owner
Phone
(832) 848-0131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

11041 Shadow Creek Pkwy Ste 121-212
Pearland, TX 77584-7402

Mailing address

11041 Shadow Creek Pkwy Ste 121-212
Pearland, TX 77584-7402
Phone (832) 848-0131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230420002939 TX Part B Supplier - Clinic/Group Practice 9436514791 Receives reassigned benefits from 1 practitioner
Practice locations: Pearland, TX

National Provider Directory

National Provider Directory

Locations

12401 S Post Oak Rd
Ste 216
Houston, TX 77045
Phone (713) 551-8663

11041 Shadow Creek Pkwy
Ste 12121
Pearland, TX 77584

11041 Shadow Creek Pkwy
Ste 121212
Pearland, TX 77584
Phone (832) 848-0131

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1811601230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11041 SHADOW CREEK PKWY STE 121-212",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847402",
            "telephone_number": "832-848-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11041 SHADOW CREEK PKWY STE 121-212",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847402",
            "telephone_number": "832-848-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFIGBOKWE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "IGBOKWE",
        "authorized_official_first_name": "EBERENNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-848-0131"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "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 Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.