Active NPI
Joseph Brown Pierce Jr., R.P.T
- Physical Therapist
- Mobile, AL
National Provider Identifier
1710964929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 299
- Practice address
- 1811 Old Shell Rd
Mobile, AL 36607-3416 - Phone
- (251) 479-1149
- Fax
- (251) 479-1118
- NPI assigned
- Dec 29, 2005
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 299 | AL | Primary |
Addresses
Primary practice location
1811 Old Shell Rd
Mobile, AL 36607-3416
Mailing address
1811 Old Shell Rd
Mobile, AL 36607-3416
Phone (251) 479-1149
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 630730034 | Other | TRICARE | |
| P00191425 | Other | RAILROAD MEDICARE | |
| 51072066 | Other | AL | BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 299 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1710964929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 OLD SHELL RD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366073416",
"telephone_number": "251-479-1149",
"fax_number": "251-479-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 OLD SHELL RD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366073416",
"telephone_number": "251-479-1149",
"fax_number": "251-479-1118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "JOSEPH",
"middle_name": "BROWN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "R.P.T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "630730034",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00191425",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51072066",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.