Active NPI
Pearland Primary Care Associates, LLP
- Family Medicine Physician
- Pearland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PEARLAND PRIMARY CARE ASSOCIATES, LLP
- Practice address
- 8619 Broadway St
Suite 100
Pearland, TX 77584-8782 - Phone
- (281) 485-4050
- Fax
- (281) 485-3553
- NPI assigned
- Jan 2, 2007
- Last updated
- Jun 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mahendra G Jain, M.D.
- Title
- President
- Phone
- (281) 485-4050
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
8619 Broadway St
Suite 100
Pearland, TX 77584-8782
Mailing address
8619 Broadway St
Suite 100
Pearland, TX 77584-8782
Phone (281) 485-4050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149925301 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
8619 Broadway St
Ste 100
Pearland, TX 77584
Phone (281) 485-4045
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Pearland, TX
- NPI 1063414985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213056000000",
"number": "1912064924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8619 BROADWAY ST",
"address_2": "SUITE 100",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848782",
"telephone_number": "281-485-4050",
"fax_number": "281-485-3553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8619 BROADWAY ST",
"address_2": "SUITE 100",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848782",
"telephone_number": "281-485-4050",
"fax_number": "281-485-3553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEARLAND PRIMARY CARE ASSOCIATES, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2008-06-10",
"status": "A",
"authorized_official_last_name": "JAIN",
"authorized_official_first_name": "MAHENDRA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-485-4050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149925301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
- Pearland Pain and Spine PLLC
- Pearland Pediatric Urgent Care PA
- Pearland Pediatrics
- Pearland Place
- Pearland Premier Surgery Center, LTD (Pearland Premier Surgery Center)
- Pearland Prime Procedure Suite LLC
- Pearland Professional Group P.a.
- Pearland Professional Vision PLLC
- Pearland Psychiatry, PA (Pearland Psychiatry)
- Pearland Recovery and Consulting Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.