Provider Demographics
NPI:1851677934
Name:PIERS BARRY MD INC
Entity Type:Organization
Organization Name:PIERS BARRY MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO/ORTHOPEDIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:PIERS
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-776-7878
Mailing Address - Street 1:2299 POST ST
Mailing Address - Street 2:SUITE #103
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3441
Mailing Address - Country:US
Mailing Address - Phone:415-776-7878
Mailing Address - Fax:415-923-1036
Practice Address - Street 1:2299 POST ST
Practice Address - Street 2:SUITE #103
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3441
Practice Address - Country:US
Practice Address - Phone:415-776-7878
Practice Address - Fax:415-923-1036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-02
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
BC447YOtherMEDICARE PTAN