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Deactivated NPI 1487769824 Deactivated / Inactive NPI Male Practitioner

Gerald G. Blackburn , CP, TLP

Prosthetist • Houston, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Gerald Blackburn has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 19, 2006
NPI Deactivation Date October 06, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Gerald Blackburn, CP, TLP was a registered Prosthetist practicing in Houston, TX. Throughout an active medical career spanning 16 years, Gerald Blackburn provided care at the practice location at 2002 HOLCOMBE BLVD until profile deactivation on 2022-10-06.

Practice Location & Contact Primary Location

Practice Address

2002 Holcombe Blvd
M.s. 580/121

Houston, TX 770304211

Telephone 7137911414
Associated Practice Facility / Clinic
🏢 Houston Vamc Facility NPI 1407814304

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
41 Specialists

Practicing in Houston, TX (259 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License TX 227

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003190612

Licensed Master Social Worker

NPI 1003451402

Doctor of Pharmacy (Pharm.D.)

Anna Lee

Psychologist - Clinical

NPI 1003541079
Dr. Emily Kalantar , PhD

Psychologist - Clinical

NPI 1003593260

Doctor of Philosophy (Ph.D.)

Jennan Swafford , RN, MSN

Registered Nurse - Psychiatric/Mental Health, Adult

NPI 1003824368

Registered Nurse, Master of Science in Nursing

Judith Steans , LCSW

Social Worker - Clinical

NPI 1003922352

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 06, 2022

Record deactivated on October 06, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2002 HOLCOMBE BLVD, M.S. 580/121, HOUSTON, TX 770304211 (Tel: 7137911414)

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Updated Business Mailing Address July 08, 2007

Registered at 9302 TWIN HILLS DR, HOUSTON, TX 770311012 (Tel: 7139958499)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GERALD BLACKBURN, C.P., T.L.P.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Prosthetist (License #227 in TX)

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Initial NPI Registration & Enumeration August 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487769824
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2006
Last Update: July 08, 2007
Deactivation Date: October 06, 2022

Mailing Address

9302 Twin Hills Dr

Houston, TX 770311012

Phone: 7139958499

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.