Brenton G Richardson
MD | Pediatrics | Male
Brenton G Richardson, MD is a Hattiesburg, Mississippi based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Brenton G Richardson is
101 Medical Park, Hattiesburg, Mississippi - 39401. He can be contacted on phone at
601-579-3000 and fax number 601-579-5240.
Brenton G Richardson is a sole proprietor of his business.
NPI number (Unique professional ID) for Brenton G Richardson is
1871601070 which was assigned by NPPES on 28 Aug, 2006 and it was last updated on 17 Jul, 2020.
Brenton G Richardson license number is
17138 for Pediatrics (208000000X) in Mississippi.
Brenton G 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:
Brenton G Richardson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Brenton G Richardson |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Brenton G 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 : | 101 Medical Park
Hattiesburg, MS, 39401
United States |
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| Phone Number : | 601-579-3000 |
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| Fax Number : | 601-579-5240 |
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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 : | 1871601070 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Aug, 2006 |
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| Last Updated On : | 17 Jul, 2020 |
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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 Brenton G Richardson are as mentioned. Primary taxonomy code for Brenton G Richardson, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 17138 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Brenton G Richardson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00125352 | MEDICAID | MS | |
| 2292729 | Other | MS | AMERICAN ADMIN GROUP |
| 1425524 | MEDICAID | LA | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | drichardson2701@directpatientrecord.com
| No affiliation | HIE
Health Information Exchange (HIE)
|
| 101 MEDICAL PARK,
HATTIESBURG, MS, 39401
United States |
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 : | 415 S 28th Ave
Hattiesburg, MS, 39401-7246
United States |
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| Phone Number : | 601-579-3000 |
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| Fax Number : | 601-579-5240 |
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Business Location:
Patients can refer following map for directions to
Brenton G 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.