Healthcare Provider Details

I. General information

NPI: 1376986554
Provider Name (Legal Business Name): TODD PRESTON PIERCE M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2013
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12414 NAVES CROSS RD NE
CUMBERLAND MD
21502-8212
US

IV. Provider business mailing address

12414 NAVES CROSS RD NE
CUMBERLAND MD
21502-8212
US

V. Phone/Fax

Practice location:
  • Phone: 843-674-5000
  • Fax:
Mailing address:
  • Phone: 240-808-8482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberD0102246
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number25MA11232800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: