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NPI Code Detail

MEDICARE: DR. BRIAN DOUGLAS PIERSON MD

MEDICARE: DR. BRIAN DOUGLAS PIERSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083P0500XPreventive Medicine/Occupational Environmental Medicine PhysicianMD 049402 LPA
2208VP0000XPain Medicine PhysicianMD049402LPA

General Provider Information

NPI Number : 1780767319
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN DOUGLAS PIERSON MD
Provider Business Mailing Address
First Line : 436 BEAUMONT CIR
Second Line :
City : WEST CHESTER
State : PA
Zip : 19380-6412
Country : US
Telephone Number : 610-429-1583
Fax Number : 610-431-2211
Provider Business Practice Location Address
First Line : 100 ARRANDALE BLVD STE 103
Second Line :
City : EXTON
State : PA
Zip : 19341-2503
Country : US
Telephone Number : 844-365-7246
Fax Number : 610-280-0181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 12/14/2021

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