Healthcare Provider Details

I. General information

NPI: 1992329007
Provider Name (Legal Business Name): JOHN THOMAS PIERCE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2020
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4309 MEDICAL PARK DR
DURHAM NC
27704-2388
US

IV. Provider business mailing address

4309 MEDICAL PARK DR
DURHAM NC
27704-2388
US

V. Phone/Fax

Practice location:
  • Phone: 919-668-7600
  • Fax:
Mailing address:
  • Phone: 919-668-7600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number328794
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: