DR. JERRY GAINES PURVIS JR. M.D.
NPI 1386655462
Specialist in South Bloomfield, OH

Active since August 11, 2006
5034 N WALNUT ST, SOUTH BLOOMFIELD, OH 43103(740) 983-8346(740) 983-6600 Get Directions Write a Review

NPPES record last updated: January 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry Gaines Purvis Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY GAINES PURVIS JR. M.D. (NPI 1386655462) is an individual specialist in South Bloomfield, Ohio, licensed in Ohio (35-08-0726-P) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1386655462
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JERRY GAINES PURVIS JR.Credential: M.D.
Location Address5034 N WALNUT STSouth Bloomfield, OH 43103-1018
Mailing Address5034 N Walnut StSouth Bloomfield, OH 43103-1018 · (740) 983-8346 · Fax (740) 983-6600
Fax(740) 983-6600
Sole ProprietorNo
Enumeration DateAugust 11, 2006
Last NPPES UpdateJanuary 19, 2010
NPI 1386655462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OH · 35-08-0726-P
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5034 N WALNUT ST, South Bloomfield, OH 43103

Other Identifiers 3

Medicare ID-Type Unspecified4067174OH
Medicaid2297232OH
Medicare UPING66633OH

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
5034 N WALNUT ST
SOUTH BLOOMFIELD, OH 43103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Purvis's NPI number?

The NPI number for Jerry Purvis is 1386655462. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Jerry Purvis located?

Jerry Purvis practices at 5034 N Walnut St, South Bloomfield, OH 43103. The listed phone number is (740) 983-8346.

What is Jerry Purvis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jerry Purvis was last updated on January 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.