P Praxis·MD
● Active Type 1 · Individual

DR. Peter William Pendergrass SR., M.D., M.P.H.

Preventive Medicine·Tyler, TX· NPI 1891850632 · Enumerated 2006 · 19 years on NPI
Pendergrass is 1 of 6 preventive medicine providers in Tyler and 1 of 154 in Texas.
NPI age
19 years
Enumerated 2006-12-22
Primary specialty
Preventive Medicine
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-02-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 154 active preventive medicine providers in Texas.

NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
11937 Us Highway 271
Tyler, TX 757083154
📞 9038777200fax 9038777778
Mailing address
11937 Us Highway 271
Tyler, TX 757083154
📞 9038777200

Specialties

  • Preventive Medicine Primary
    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...
    TX license #H4610 taxonomy 2083P0901X

Practice context

Part of a multi-provider practice. 478 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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