NPIMap

Individual provider Active NPI

David Pierce, D.O.

  • Emergency Medicine Physician
  • Lynn Haven, FL
National Provider Identifier
1073593802
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0007653 Issued in FL
Practice address
1606 Tennessee Ave
Lynn Haven, FL 32444-3653
Phone
(850) 265-3606
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0007653 FL Primary

Addresses

Primary practice location

1606 Tennessee Ave
Lynn Haven, FL 32444-3653

Mailing address

PO Box 99
Sopchoppy, FL 32358-0099
Phone (850) 528-1650

Other identifiers 3

IdentifierTypeStateIssuer
089145291BMedicaidGA
272034500MedicaidFL
35719OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308000797 FL Practitioner - Emergency Medicine 5698676443 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2542TNMDOptometrist
0007653FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Hospitalist at Weems PL Emergency Medicine CurrentSince Feb 1, 2012 Accepting new patients
Southland EMS at Weems PL Emergency Medicine CurrentSince Feb 1, 2012 Accepting new patients
Hannibal Regional Healthcare System Inc Past Accepting new patients
The Family Clinic LLC Emergency Medicine PastSince Dec 12, 2007 Accepting new patients
Gulf Emergency Specialists PA Emergency Medicine Past Accepting new patients
Northport Emergency Associates, PA Past Accepting new patients
Southland Medical Solutions of Eufaula, PL Emergency Medicine Past Accepting new patients
Bernier Family Practice and Associates Past Accepting new patients
Alteon Health Alabama, LLC Emergency Medicine Past Accepting new patients
Privia Medical Group Florida, LLC Past Accepting new patients
Sarasota Emergency Associates PA Emergency Medicine Past Accepting new patients
Nature Coast Emergency Physicians, PA Emergency Medicine PastSince Apr 9, 2003 Accepting new patients
Tallahassee Medical Center Inc Past Accepting new patients
Emergency Medicine of Florida, Inc. Past Accepting new patients
Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola Emergency Medicine Past Accepting new patients
Gulf Coast Emergency Physicians PA Emergency Medicine Past Accepting new patients

Locations

135 Avenue G
Apalachicola, FL 32320
Phone (850) 653-8853

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1073593802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "SOPCHOPPY",
            "state": "FL",
            "postal_code": "323580099",
            "telephone_number": "850-528-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 TENNESSEE AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324443653",
            "telephone_number": "850-265-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "0007653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089145291B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272034500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "35719",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn Haven, FL

Sources for this page

Verify at the official NPI Registry.