Millard Lucien Tierce IV, D.O.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

N8250 Issued in TX

Practice address

4200 S Hulen St Ste 230
Fort Worth, TX 76109-4924

Phone

(817) 315-2550

Fax

(817) 732-4660

NPI assigned

Mar 28, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Allergy/Immunology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: millard.tierce@5011032375300.direct.elationemr.com

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.

• Millard L Tierce IV DO

  • Allergy & Immunology Physician
  • Fort Worth, TX
  • NPI 1609536275

  Single Specialty

  Medicare reassignment NPD Authorized official
• Bob Lanier MD PA

  • Allergy & Immunology Physician
  • Benbrook, TX
  • NPI 1417220864

  Single Specialty

  NPD
• Questcare Matrix, PLLC

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1629524665
  NPD (past)

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1528230687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 S HULEN ST STE 230",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094924",
            "telephone_number": "817-315-2550",
            "fax_number": "817-732-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S HULEN ST STE 230",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094924",
            "telephone_number": "817-315-2550",
            "fax_number": "817-732-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERCE",
        "first_name": "MILLARD",
        "middle_name": "LUCIEN",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-28",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "N8250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Tidwell
• Jana Tieding, CCC-SLP
• Shelby Rigdon Tieken, AGACNP-BC
• Kevin Wells Tien, MD
• Tate Lundy Tieperman, PT, DPT
• Nancy A Tierney, NP
• Samantha Judith Tierney
• Zachary Todd Tierney, MD
• Ashley J Tietje-Crawford
• Lynne R Tilkin, DO

• Allergy & Immunology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.