Provider Demographics
NPI:1538515457
Name:PIERCE, BRIAN DONALD (PA)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:DONALD
Last Name:PIERCE
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:6850 UPPER BOX ELDER RD
Mailing Address - Street 2:
Mailing Address - City:BOX ELDER
Mailing Address - State:MT
Mailing Address - Zip Code:59521-9073
Mailing Address - Country:US
Mailing Address - Phone:406-395-1606
Mailing Address - Fax:
Practice Address - Street 1:2741 DEBARR ROAD
Practice Address - Street 2:BUILDING C, SUITE 302
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:907-561-1195
Practice Address - Fax:907-561-1113
Is Sole Proprietor?:No
Enumeration Date:2016-05-10
Last Update Date:2024-12-12
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant