DR. PETER WILLIAM PENDERGRASS SR. M.D., M.P.H.
NPI 1891850632
Preventive Medicine - Public Health & General Preventive Medicine in Tyler, TX

Q: What is Peter Pendergrass's NPI number?

The NPI number for Peter Pendergrass is 1891850632. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Q: What is Peter Pendergrass's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Q: When was this NPI record last updated?

The NPPES record for Peter Pendergrass was last updated on February 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 22, 2006

11937 US HIGHWAY 271, TYLER, TX 75708(903) 877-7200(903) 877-7778 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 16, 2022, Feb 14, 2017, Feb 2, 2017 (3 updates tracked since 2017).

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About Dr. Peter William Pendergrass Sr. M.d., M.p.h. NPPES

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

DR. PETER WILLIAM PENDERGRASS SR. M.D., M.P.H. (NPI 1891850632) is an individual public health & general preventive medicine provider in Tyler, Texas, licensed in Texas (H4610) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1891850632

Entity TypeIndividualMale

Primary Taxonomy2083P0901X

Provider Legal NameDR. PETER WILLIAM PENDERGRASS SR.Credential: M.D., M.P.H.

Location Address11937 US HIGHWAY 271Tyler, TX 75708-3154

Mailing Address11937 Us Highway 271Tyler, TX 75708-3154 · (903) 877-7200

Phone(903) 877-7200

Fax(903) 877-7778

Sole ProprietorNo

Enumeration DateDecember 22, 2006

Last NPPES UpdateFebruary 16, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2022

✔ NPI 1891850632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0901X

License✔ Licensed in TX · H4610

Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

11937 US HIGHWAY 271, Tyler, TX 75708

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 19

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

DR. BILLY JOE SARTOR PHARM.D.

Pharmacist (Pharmacotherapy)

11937 US HIGHWAY 271, UNIVERSITY OF TEXAS HEALTH CENTER AT TYLER
TYLER, TX 75708

Smith County (903) 877-7096

KAREN C APPLEBERRY FNP

Nurse Practitioner (Family)