Active NPI
Brian R Pierce, M. D.
- Family Medicine Physician
- Rockport, ME
National Provider Identifier
1619084290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD15913
- Practice address
- 643 Rockland St
Suite C
Rockport, ME 04856-5320 - Phone
- (207) 390-8570
- Fax
- (207) 613-2954
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD15913 | ME | Primary |
Addresses
Primary practice location
643 Rockland St
Suite C
Rockport, ME 04856-5320
Mailing address
PO Box 129
West Rockport, ME 04865-0129
Phone (207) 390-8570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP7811501 | Medicaid | ME |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Brian.Pierce@3613645930500.direct.elationemr.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD15913 | ME | MD | Family Medicine Physician |
Interoperability endpoints
- brian.pierce@3613645930500.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1619084290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 129",
"city": "WEST ROCKPORT",
"state": "ME",
"postal_code": "048650129",
"telephone_number": "207-390-8570",
"fax_number": "207-613-2954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "643 ROCKLAND ST",
"address_2": "SUITE C",
"city": "ROCKPORT",
"state": "ME",
"postal_code": "048565320",
"telephone_number": "207-390-8570",
"fax_number": "207-613-2954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "BRIAN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "MD15913",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "BP7811501",
"state": "ME"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Brian.Pierce@3613645930500.direct.elationemr.com",
"affiliation": "N",
"endpointDescription": "Elation EMR",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "643 Rockland St",
"address_2": "Suite C",
"city": "Rockport",
"state": "ME",
"country_code": "US",
"postal_code": "048565320",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.