Richardson, Brian
Richardson, Brian is an individual health care provider with primary practice located at 2850 Telegraph Ave. Suite 110, Berkeley CA 94705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Richardson, Brian can be contacted via phone (510) 204-8140.Contact Information
Primary practice address
2850 Telegraph Ave. Suite 110
Berkeley CA 94705
Phone: (510) 204-8140
Fax: (510) 506-7721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | G61066 | California |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | G61066 | California |
Profile Details
| NPI number | 1265540892 |
|---|---|
| LBN Legal business name | Richardson, Brian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265540892 | NPPES |
| California | Other | G61066 | STATE MEDICAL LICENSE |
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