Individual provider Active NPI

Mark Edward Pierce, M.D.

  • Internal Medicine Physician
  • Redding, CA
National Provider Identifier
1295753564
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G42236 Issued in CA
Practice address
1093 Hilltop Dr
Redding, CA 96003-3811
Phone
(530) 221-1565
Fax
(539) 221-3912
NPI assigned
Jul 17, 2006
Last updated
Jun 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G42236 CA Primary

Addresses

Primary practice location

1093 Hilltop Dr
Redding, CA 96003-3811

Mailing address

1093 Hilltop Dr
Redding, CA 96003-3811
Phone (530) 221-1565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070426000406 CA Practitioner - Internal Medicine 1557343282 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G42236CAMDInternal Medicine Physician
42236CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Primary Care Medical Group, Inc Internal Medicine CurrentSince Feb 11, 1986 Accepting new patients
Redding Primary Care Medical Group, Inc CurrentSince Feb 11, 1986 Accepting new patients

Locations

1093 Hilltop Dr
Redding, CA 96003
Phone (530) 221-1565

Organizations & group practices 3

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1295753564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 HILLTOP DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033811",
            "telephone_number": "530-221-1565",
            "fax_number": "530-221-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 HILLTOP DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033811",
            "telephone_number": "530-221-1565",
            "fax_number": "539-221-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G42236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.