Provider Demographics
NPI:1629264577
Name:OCCUPATIONAL HEALTH & PAIN MANAGEMENT OF CHESTER COUNTY, PC
Entity Type:Organization
Organization Name:OCCUPATIONAL HEALTH & PAIN MANAGEMENT OF CHESTER COUNTY, PC
Other - Org Name:BRIAN PIERSON, MD PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:PIERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-524-0770
Mailing Address - Street 1:460 CREAMERY WAY STE 104
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2533
Mailing Address - Country:US
Mailing Address - Phone:610-524-0770
Mailing Address - Fax:610-524-0772
Practice Address - Street 1:460 CREAMERY WAY STE 104
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2533
Practice Address - Country:US
Practice Address - Phone:610-524-0770
Practice Address - Fax:610-524-0772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD049402L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty