Dr. Kim E Pershall, MD
Dr. Kim E Pershall is a Otolaryngology Physician provider (Otolaryngology) practicing in Lubbock, TX, registered in the NPPES registry with NPI 1497751663 since 2005. The credential MD stands for Doctor of Medicine. Practices at Kim E Pershall MD PA (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1497751663 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Kim E Pershall |
| Credential | MD |
| Sex | Male |
| Practice address | 3811 24TH STREET, Lubbock, TX, 79410 |
| Phone | 8067960202 |
| Fax | 8067960496 |
| Enumeration date | 2005-06-22 |
| Last updated in NPPES | 2011-01-31 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Secondary | J3574 | TX |
| 174400000X | Specialist | Secondary | 86103 | NM |
| 207Y00000X | Otolaryngology Physician | Primary | J3574 | TX |
| 207YS0123X | Facial Plastic Surgery Physician | Secondary | J3574 | TX |
| 207YX0602X | Otolaryngic Allergy Physician | Secondary | J3574 | TX |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121351100 | Other | TX | FIRSTCARE |
| 034333701 | Medicaid | TX | — |
| 8P8420 | Other | TX | BCBS TX |
| 37234 | Medicaid | NM | — |
| 8F21125 | Other | TX | MEDICARE PTAN |
| 148127701 | Other | TX | MEDICAID GROUP |
| 040007969 | Other | TX | RAILROAD MEDICARE |
Copy-ready billing details
Provider: Kim Pershall, MD NPI: 1497751663 Taxonomy: 207Y00000X (Otolaryngology Physician) Address: 3811 24TH STREET, Lubbock, TX, 79410
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1649456542 | Kim E Pershall MD PA | Organization | Otolaryngology Physician | Lubbock, TX |
Verify this record
Cross-check NPI 1497751663 against the authoritative CMS record: view Dr. Kim E Pershall on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where does Kim Pershall practice?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-01-31.