Breck T Richardson
M.D. | Pediatrics | Male
Breck T Richardson, M.D. is a Kosciusko, Mississippi based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Breck T Richardson is
332 Hwy 12 West, Kosciusko, Mississippi - 39090. He can be contacted on phone at
662-289-1800 and fax number 662-289-2486.
Breck T Richardson is a sole proprietor of his business.
NPI number (Unique professional ID) for Breck T Richardson is
1962645770 which was assigned by NPPES on 08 Apr, 2009 and it was last updated on 11 Dec, 2012.
Breck T Richardson license number is
21932 for Pediatrics (208000000X) in Mississippi.
Breck T Richardson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Breck T Richardson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Breck T Richardson |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Breck T Richardson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 332 Hwy 12 West
Kosciusko, MS, 39090
United States |
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| Phone Number : | 662-289-1800 |
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| Fax Number : | 662-289-2486 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1962645770 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Apr, 2009 |
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| Last Updated On : | 11 Dec, 2012 |
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Medicare Participation:
Breck T Richardson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6507012333 |
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| Medicare Enrollment ID : | I20120810000440 |
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| Primary Specialty : | General Practice |
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| Medical School : | University Of Mississippi School Of Medicine |
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| Graduation Year : | 2009 |
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| Accepts Medicare? | Yes. Breck T Richardson accepts medicare insurance. |
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Group Practice Association:
Breck T Richardson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Breck T Richardson is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Premier Medical Group Of Mississippi Llc | 8729973623 | 24 | 332 Hwy 12 W
Kosciusko, MS - 390903209
Ph: 6622891800 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Breck T Richardson are as mentioned. Primary taxonomy code for Breck T Richardson, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 21932 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Breck T Richardson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 09723710 | MEDICAID | MS | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 23996
Jackson, MS, 39225
United States |
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| Phone Number : | 601-206-6100 |
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| Fax Number : | 601-206-6052 |
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Business Location:
Patients can refer following map for directions to
Breck T Richardson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.