Healthcare Provider Details

I. General information

NPI: 1649337502
Provider Name (Legal Business Name): HERBERT ROWLAND PEARSALL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3534 GOVERNORS ISLAND DR
DENVER NC
28037-8442
US

IV. Provider business mailing address

3534 GOVERNORS ISLAND DR
DENVER NC
28037-8442
US

V. Phone/Fax

Practice location:
  • Phone: 704-748-3126
  • Fax:
Mailing address:
  • Phone: 704-748-3126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number020513
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number158280
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: