Individual provider Active NPI

Douglas Kimball Pierce, M.D.

  • Specialist
  • Largo, FL
National Provider Identifier
1528194453
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
FL0051303 Issued in FL
Practice address
8787 Bryan Dairy Rd
#360
Largo, FL 33777-1251
Phone
(727) 393-4900
Fax
(727) 393-4910
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X FL0051303 FL Primary

Addresses

Primary practice location

8787 Bryan Dairy Rd
#360
Largo, FL 33777-1251

Mailing address

8787 Bryan Dairy Rd
#360
Largo, FL 33777-1260
Phone (727) 393-4900

Other identifiers 1

IdentifierTypeStateIssuer
048485701MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
FL0051303FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Skin Solutions PastSince Oct 14, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1528194453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 BRYAN DAIRY RD",
            "address_2": "#360",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771260",
            "telephone_number": "727-393-4900",
            "fax_number": "727-393-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 BRYAN DAIRY RD",
            "address_2": "#360",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771251",
            "telephone_number": "727-393-4900",
            "fax_number": "727-393-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "DOUGLAS",
        "middle_name": "KIMBALL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "FL0051303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048485701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.