Provider Demographics
NPI:1871207555
Name:PURPLE CIRCLE PHYSICIAN PC
Entity type:Organization
Organization Name:PURPLE CIRCLE PHYSICIAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTA
Authorized Official - Middle Name:
Authorized Official - Last Name:REIERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-216-2910
Mailing Address - Street 1:222 BROADWAY FL 22
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-2570
Mailing Address - Country:US
Mailing Address - Phone:844-625-0623
Mailing Address - Fax:
Practice Address - Street 1:3 COLUMBUS CIR FL 15
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-8716
Practice Address - Country:US
Practice Address - Phone:339-793-8998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALFIE HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-09
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty