Mark Alton Pierce Sr., D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH6451 Issued in FL

Practice address

12620 Beach Blvd
Suite 6
Jacksonville, FL 32246-7131

Phone

(904) 645-0777

Fax

(904) 645-3483

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Healthcare of Jacksonville IncGroup PAC ID 9234376690, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Physical Healthcare of Jacksonville Inc

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1760722011

  Chiropractor

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1962448209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12620 BEACH BLVD",
            "address_2": "SUITE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322467131",
            "telephone_number": "904-645-0777",
            "fax_number": "904-645-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12620 BEACH BLVD",
            "address_2": "SUITE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322467131",
            "telephone_number": "904-645-0777",
            "fax_number": "904-645-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "MARK",
        "middle_name": "ALTON",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC PHYSICIAN #",
            "identifier": "CH6451",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Eugene Pierce, R.PH.
• Katherine Elizabeth Pierce, PSYD
• Kimberly Pierce
• Kimberly R Pierce, APRN
• Marina A Pierce, MD
• Matthew D Pierce, D.C.
• Sarah Pierce, OT
• Thamia Brenda Pierre Philippe
• Claudia M. Pierre-Dureus, MD
• Alexa Pierre

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.