Provider Demographics
NPI:1992987234
Name:PIERCE, ROBERT (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:PIERCE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2304 N 7TH AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-2597
Mailing Address - Country:US
Mailing Address - Phone:406-587-8133
Mailing Address - Fax:406-582-4181
Practice Address - Street 1:2304 N 7TH AVE
Practice Address - Street 2:SUITE E
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-2597
Practice Address - Country:US
Practice Address - Phone:406-587-8133
Practice Address - Fax:406-582-4181
Is Sole Proprietor?:No
Enumeration Date:2007-11-28
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT871111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
41791OtherBCBS OF MONTANA
000004405Medicare PIN