Organization Active NPI

Superior Physical Medicine LLC

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1174863989
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUPERIOR PHYSICAL MEDICINE LLC
Practice address
8773 Perimeter Park CT
Jacksonville, FL 32216-1165
Phone
(904) 724-5433
Fax
(904) 724-9671
NPI assigned
Feb 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Dr. Burton Aaron Pierce, DC
Title
Owner
Phone
(904) 724-5433

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

8773 Perimeter Park CT
Jacksonville, FL 32216-1165

Mailing address

8773 Perimeter Park CT
Jacksonville, FL 32216-1165
Phone (904) 724-5433

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1174863989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8773 PERIMETER PARK CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161165",
            "telephone_number": "904-724-5433",
            "fax_number": "904-724-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8773 PERIMETER PARK CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161165",
            "telephone_number": "904-724-5433",
            "fax_number": "904-724-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "BURTON",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-724-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.