Healthcare Provider Details

I. General information

NPI: 1073956744
Provider Name (Legal Business Name): HARRISON B PEARL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2013
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1851 N MCKENZIE ST STE 206
FOLEY AL
36535-4702
US

IV. Provider business mailing address

1851 N MCKENZIE ST STE 206
FOLEY AL
36535-4702
US

V. Phone/Fax

Practice location:
  • Phone: 251-952-6659
  • Fax: 251-971-2204
Mailing address:
  • Phone: 251-952-6659
  • Fax: 251-971-2204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD.37468
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number37468
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: