Active NPI
Kerry Pierce, MD
- Psychiatry Physician
- Midland, MI
National Provider Identifier
1891707634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- KP074908
- Practice address
- 4201 Campus Ridge Dr Ste 3950
Midland, MI 48640-6131 - Phone
- (989) 839-3385
- Fax
- (989) 839-1491
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | KP074908 | MI | Primary |
Addresses
Primary practice location
4201 Campus Ridge Dr Ste 3950
Midland, MI 48640-6131
Mailing address
4201 Campus Ridge Drive
Midland, MI 48670
Phone (989) 839-3385
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
| License | State | Type | Specialty |
|---|---|---|---|
| KP074908 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles a. Cannon, Jr. Memorial Hospital, Inc | Psychiatry | Past | 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.
-
- Psychiatry Physician
- Linville, NC
- NPI 1518906700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1891707634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 CAMPUS RIDGE DRIVE",
"city": "MIDLAND",
"state": "MI",
"postal_code": "48670",
"telephone_number": "989-839-3385",
"fax_number": "989-839-1491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 CAMPUS RIDGE DR STE 3950",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406131",
"telephone_number": "989-839-3385",
"fax_number": "989-839-1491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "KERRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "KP074908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.