JERRY BLACKLOCK M.D.
NPI 1124053392
Neurological Surgery in Houston, TX

Active since July 12, 2006PECOS Enrolled
6560 FANNIN ST, SUITE 900, HOUSTON, TX 77030(713) 441-3800 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry Blacklock M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY BLACKLOCK M.D. (NPI 1124053392) is an individual neurological surgery provider in Houston, Texas, licensed in Texas (G9066) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124053392
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameJERRY BLACKLOCKCredential: M.D.
Location Address6560 FANNIN ST, SUITE 900Houston, TX 77030-2761
Mailing Address6560 Fannin St, Suite 900Houston, TX 77030-2761 · (713) 441-3800
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateJanuary 24, 2017
NPI 1124053392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in TX · G9066
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
6560 FANNIN ST, Houston, TX 77030

Other Identifiers 8

Other8R9781TX · Blue Cross Blue Shield
Other8GD848TX · Bcbs
OtherP01331480TX · Rr Medicare
Medicare PIN329394YMQVTX
Other8EA863TX · Blue Cross Blue Shield
Medicare PIN329394ZSWDTX
OtherP00216844TX · Railroad Medicare
Medicare PIN8D2596TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jerry Blacklock M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
6560 FANNIN ST, STE 1260
HOUSTON, TX 77030
Ophthalmology
6560 FANNIN ST, STE 750
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology)
6560 FANNIN ST, STE 802
HOUSTON, TX 77030
Internal Medicine
6560 FANNIN ST, SUITE 1012
HOUSTON, TX 77030
Internal Medicine (Infectious Disease)
6560 FANNIN ST, SUITE 1540
HOUSTON, TX 77030
Physician Assistant
6560 FANNIN ST, SUITE 1842
HOUSTON, TX 77030
Surgery
6560 FANNIN ST, STE 1608
HOUSTON, TX 77030
Internal Medicine
6560 FANNIN ST, SUITE 1112
HOUSTON, TX 77030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Blacklock's NPI number?

The NPI number for Jerry Blacklock is 1124053392. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Jerry Blacklock located?

Jerry Blacklock practices at 6560 Fannin St Suite 900, Houston, TX 77030. The listed phone number is (713) 441-3800.

What is Jerry Blacklock's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Jerry Blacklock enrolled in Medicare?

Yes. Jerry Blacklock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerry Blacklock was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.