Healthcare Provider Details

I. General information

NPI: 1285670430
Provider Name (Legal Business Name): FRANK PEARCE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 01/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 6TH AVE S SUITE 9100
BIRMINGHAM AL
35233-1802
US

IV. Provider business mailing address

PO BOX 55823
BIRMINGHAM AL
35255-5823
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-4948
  • Fax: 205-212-3002
Mailing address:
  • Phone: 205-934-4948
  • Fax: 205-212-3002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number17271
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: