Provider Demographics
NPI:1669468245
Name:PIERCE, JULIA A (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:A
Last Name:PIERCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9612 W BELFAST DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-5911
Mailing Address - Country:US
Mailing Address - Phone:423-284-9046
Mailing Address - Fax:
Practice Address - Street 1:10350 E DAKOTA AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-1314
Practice Address - Country:US
Practice Address - Phone:303-338-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN24898207R00000X
CAG172361207R00000X
NY309825207R00000X
NJ25MA11107800207R00000X
COCDRH.0050243207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO93737343Medicaid
CO22010OtherKAISER COMMERCIAL NUMBER
TN30797681Medicare PIN
COCOAAA1977Medicare PIN
CO93737343Medicaid
TN30797622Medicare PIN
CO22010OtherKAISER COMMERCIAL NUMBER
TN3079768Medicare PIN