Organization Active NPI

Pierce Chiropractic & Rehabilitation PA

  • Chiropractor
  • Jacksonville,, FL
National Provider Identifier
1902983166
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PIERCE CHIROPRACTIC & REHABILITATION PA
Practice address
8773 Perimeter Park CT.
Jacksonville,, FL 32216-1165
Phone
(904) 724-5433
Fax
(904) 724-9671
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Authorized official

Name
Dr. Burton A Pierce Jr., DC
Title
Physician
Phone
(904) 724-5433

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH1273 FL

Addresses

Primary practice location

8773 Perimeter Park CT.
Jacksonville,, FL 32216-1165

Mailing address

8773 Perimeter Park CT.
Jacksonville,, FL 32216-1165
Phone (904) 724-5433

Other identifiers 1

IdentifierTypeStateIssuer
38365OtherFLBCBS

Other names 1

  • Formerly-FORME Medical and Rehabilitation Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1902983166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8773 PERIMETER PARK CT.",
            "city": "JACKSONVILLE,",
            "state": "FL",
            "postal_code": "322161165",
            "telephone_number": "904-724-5433",
            "fax_number": "904-724-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8773 PERIMETER PARK CT.",
            "city": "JACKSONVILLE,",
            "state": "FL",
            "postal_code": "322161165",
            "telephone_number": "904-724-5433",
            "fax_number": "904-724-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE CHIROPRACTIC & REHABILITATION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "BURTON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "904-724-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH1273",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "38365",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Formerly-FORME Medical and Rehabilitation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jacksonville,, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.