Richardson, Brady L

Richardson, Brady L is an individual health care provider with primary practice located at 220 Highway 12 W , Kosciusko MS 39090-3208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Richardson, Brady L can be contacted via phone (662) 290-3150.

Contact Information

Primary practice address
220 Highway 12 W Kosciusko MS 39090-3208
Phone: (662) 290-3150
Fax: (662) 290-3160
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 18287 Mississippi
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18287 Mississippi

Profile Details

NPI number 1598728586
LBN Legal business name Richardson, Brady L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jul 24th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598728586 NPPES
Mississippi MEDICAID 03482344

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