Bruce Pierson Jr MD PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

10635 Issued in WV

Legal business name

BRUCE PIERSON JR MD PC

Practice address

600 18TH Street
Suite 311
Parkersburg, WV 26101

Phone

(304) 424-4640

Fax

(304) 424-4628

NPI assigned

Dec 11, 2006

Last updated

Dec 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bruce H Pierson Jr., MD

Title

President

Phone

(304) 424-4640

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1982764684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 18TH STREET",
            "address_2": "SUITE 311",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "26101",
            "telephone_number": "304-424-4640",
            "fax_number": "304-424-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 18TH STREET",
            "address_2": "SUITE 311",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "26101",
            "telephone_number": "304-424-4640",
            "fax_number": "304-424-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE PIERSON JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "PIERSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-424-4640",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WV",
            "license": "10635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH MEDICAID",
            "identifier": "0296979",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810009741",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DG2883",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Brown
• Nathan E. Brown
• Sherry Brown, CAC
• Zachary Brownfield, BA
• Alison May Browning
• Miranda Bruce
• Dale Eric Brum, DDS
• Casey Leigh Smith Brunetti, PA
• Dereka Brutchey
• Alexandria Bryant

• Dermatology Physician in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Dermatology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.