Individual provider Active NPI

Barry D Pierce, MD

  • Emergency Medicine Physician
  • Mountain View, AR
National Provider Identifier
1083670095
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E3494 Issued in AR
Practice address
2106 E Main St
Mountain View, AR 72560-0510
Phone
(870) 262-5056
Fax
(870) 269-3093
NPI assigned
Apr 26, 2006
Last updated
Oct 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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 E3494 AR Primary

Addresses

Primary practice location

2106 E Main St
Mountain View, AR 72560-0510

Mailing address

2106 E Main St
Mountain View, AR 72560-0510
Phone (870) 262-5056

Other identifiers 1

IdentifierTypeStateIssuer
148557001MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051202000698 AR Practitioner - Family Practice 0244250371 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E3494ARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White River Health System, Inc. CurrentSince Oct 1, 2005 Accepting new patients
White River Health System, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients

Locations

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

2106 E Main St
Mountain View, AR 72560
Phone (870) 262-5056

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cave City Medical ClinicCave City, AR, CCN 043982 Rural health clinic Corporate Officer
Corporate Director
Jan 1, 2013
Jan 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1083670095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 E MAIN ST",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725600510",
            "telephone_number": "870-262-5056",
            "fax_number": "870-269-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 E MAIN ST",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725600510",
            "telephone_number": "870-262-5056",
            "fax_number": "870-269-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "BARRY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E3494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148557001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, AR

Sources for this page

Verify at the official NPI Registry.