Organization Active NPI

Paul Pierce M.D., PLLC

  • Plastic Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1235828328
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
PAUL PIERCE M.D., PLLC
Practice address
6031 E Woodmen Rd Ste 310
Colorado Springs, CO 80923-2624
Phone
(719) 888-6677
Fax
(719) 888-5080
NPI assigned
May 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Dr. Paul Michael Pierce, MDNPI 1598924201
Title
Member
Phone
(719) 888-6677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

6031 E Woodmen Rd Ste 310
Colorado Springs, CO 80923-2624

Mailing address

6031 E Woodmen Rd Ste 310
Colorado Springs, CO 80923-2624
Phone (719) 888-6677

Other identifiers 1

IdentifierTypeStateIssuer
1598924201OtherINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230823003171 CO Part B Supplier - Clinic/Group Practice 2567820913 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

6031 E Woodmen Rd
Ste 310
Colorado Springs, CO 80923
Phone (719) 888-6677

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": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1235828328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 E WOODMEN RD STE 310",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232624",
            "telephone_number": "719-888-6677",
            "fax_number": "719-888-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 E WOODMEN RD STE 310",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232624",
            "telephone_number": "719-888-6677",
            "fax_number": "719-888-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL PIERCE M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "719-888-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1598924201",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.