Organization Active NPI

Pearce Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Evansville, IN
National Provider Identifier
1710079785
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0119506750 Issued in IN
Legal business name
PEARCE MEDICAL LLC
Practice address
113 E Eichel Ave
Evansville, IN 47711-4503
Phone
(812) 484-4932
Fax
(812) 909-0551
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Jason Bert Bartley, CFO
Title
Director
Phone
(812) 484-4932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0119506750 IN Primary

Addresses

Primary practice location

113 E Eichel Ave
Evansville, IN 47711-4503

Mailing address

PO Box 23021
Evansville, IN 47724-1021
Phone (812) 484-4932

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1710079785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23021",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477241021",
            "telephone_number": "812-484-4932",
            "fax_number": "812-909-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E EICHEL AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477114503",
            "telephone_number": "812-484-4932",
            "fax_number": "812-909-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARCE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "BARTLEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "BERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "812-484-4932",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "0119506750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.