NPIMap

Individual provider Active NPI

Courtney Marie Preston, MD

  • Neurology Physician
  • Pearland, TX
National Provider Identifier
1831449230
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
P7185 Issued in TX
Practice address
2950 Cullen Blvd Ste 108
Pearland, TX 77584-3922
Phone
(281) 835-4159
Fax
(832) 243-5423
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X P7185 TX
Neurology Physician 2084N0400X P7185 TX Primary

Addresses

Primary practice location

2950 Cullen Blvd Ste 108
Pearland, TX 77584-3922

Mailing address

10907 Memorial Hermann Dr Ste 400
Pearland, TX 77584-4114
Phone (281) 835-4159

Other identifiers 4

IdentifierTypeStateIssuer
00106WOtherTXMEDICARE HARRIS COUNTY GRP PTAN
153449704OtherTXMEDICAID GRP TPI
D6392OtherRR MEDICARE GRP PTAN
0035TDOtherTXBCBSTX GRP PROVIDER RECORD #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140702001180 TX Practitioner - Neurology 8820213051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Medical School at Houston, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2950 Cullen Blvd
Suite 108
Pearland, TX 77584-3923
Phone (281) 835-4159

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Associates of Pearland, PLLC Neurology CurrentSince Feb 14, 2018 Accepting new patients
Memorial Hermann Medical Group Urgent Care PastSince Mar 31, 2016 Accepting new patients

Locations

2950 Cullen Blvd
Ste 108
Pearland, TX 77584
Phone (281) 835-4159

10907 Memorial Hermann Dr
Ste 400
Pearland, TX 77584
Phone (281) 741-0280

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGGCBD/Endpoint/CGGCBD

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1831449230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10907 MEMORIAL HERMANN DR STE 400",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844114",
            "telephone_number": "281-835-4159",
            "fax_number": "832-243-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 CULLEN BLVD STE 108",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843922",
            "telephone_number": "281-835-4159",
            "fax_number": "832-243-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "P7185",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P7185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HARRIS COUNTY GRP PTAN",
            "identifier": "00106W",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GRP TPI",
            "identifier": "153449704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GRP PTAN",
            "identifier": "D6392",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX GRP PROVIDER RECORD #",
            "identifier": "0035TD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.