BRIAN G RICHARDS (NPI# 1699770651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699770651 |
| Entity Type | Individual |
| Full Name | BRIAN G RICHARDS |
| Credential | MD |
| Practice Address |
400 N Jefferson St Lewisburg WV 24901 |
| Practice Telephone | 3046453220 |
| Practice Fax Number | 3046454103 |
| Mailing Telephone | 3046453220 |
| Mailing Fax Number | 3046454103 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2009-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
12334 | WV | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
12334 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | ANTHEM | 236228 | 01 |
| WV | RR/MEDICARE | 110240176 | 01 |
| WV | CARELINK | 540913938 | 01 |
| WV | 0083419000 | 05 | |
| WV | TRICARE | 752887493002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518458447 | Brian Richards | Physical Medicine & Rehabilitation | 10885 W Sprague Rd, North Royalton, OH 44133-1256 | 2018-05-26 |
| 1275686446 | Brian J Richards | Dentist | 1872 Avenue of The Cities, Moline, IL 61265-4878 | 2007-01-19 |
| 1073164653 | Brian Richards | Counselor | 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2019-09-24 |
| 1427445055 | Brian James Richards | Student in an Organized Health Care Education/Training Program | 602 Ivy St, Elmira, NY 14905-1646 | 2015-04-21 |
| 1871873364 | Brian W Richards | Pharmacist | 455 E Epler Ave, Indianapolis, IN 46227-1902 | 2011-08-28 |
| 1598909004 | Brian Clark Richards | Family Medicine | 1120 S Jackson Hwy, Suite 300, Sheffield, AL 35660-5777 | 2009-04-28 |
| 1285871889 | Brian David Richards | Social Worker | 87 N Canton Rd, Akron, OH 44305-3838 | 2009-01-20 |
| 1861430910 | Brian David Richards | Psychologist | 901 Dulaney Valley Rd, Suite 129, Towson, MD 21204-2600 | 2006-06-02 |
| Street Address |
400 N JEFFERSON ST |
| City | LEWISBURG |
| State | WV |
| Zip Code | 24901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346770872 | Micah Robert Moore | Family Medicine | 400 N Jefferson St, Lewisburg, WV 24901 | 2017-06-18 |
| 1306374616 | John Paul Ford | Emergency Medicine | 400 N Jefferson St, Robert C Byrd Clinic, Lewisburg, WV 24901 | 2017-05-31 |
| 1982132866 | Samantha Jo Frazier | Family Medicine | 400 N Jefferson St, Lewisburg, WV 24901-1177 | 2017-05-23 |
| 1124554399 | Alexander C Egerter | Student in an Organized Health Care Education/Training Program | 400 N Jefferson St, Lewisburg, WV 24901-1177 | 2017-05-10 |
| 1336675404 | Kelly Fuchs | Student in an Organized Health Care Education/Training Program | 400 N Jefferson St, Robert C. Byrd Clinic, Lewisburg, WV 24901-1177 | 2017-05-10 |
| 1861840258 | Luke Ta | Family Medicine | 400 N Jefferson St, Lewisburg, WV 24901-1177 | 2016-05-26 |
| 1528414984 | John Ellison | Family Medicine | 400 N Jefferson St, Lewisburg, WV 24901-1177 | 2016-05-04 |
| 1225483571 | Kevin Hennenhoefer | Neuromusculoskeletal Medicine & OMM | 400 N Jefferson St, Lewisburg, WV 24901-1177 | 2016-04-24 |
| 1780038026 | Seth Benjamin Larson | Emergency Medicine | 400 N Jefferson St, Lewisburg, WV 24901 | 2016-04-22 |
| 1629457098 | Matthew Chung | Student in an Organized Health Care Education/Training Program | 400 N Jefferson St, Lewisburg, WV 24901-1177 | 2015-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
| Find all providers in zip 24901 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316981525 | Joye A. Martin | Internal Medicine | 1540 Spring Valley Dr., Vamc, Huntington, WV 25704 | 2006-06-16 |
| 1326575465 | Tashnia Tahsin | Internal Medicine | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2017-05-19 |
| 1457729212 | Geps Physician Group of West Virginia PC | Internal Medicine | 840 Lee Rd, Follansbee, WV 26037-1783 | 2015-09-10 |
| 1235384439 | Guillermo Madero | Internal Medicine | 1249 15th St, Suite 2000, Huntington, WV 25701-3662 | 2008-12-02 |
| 1669679809 | Moussa Sissoko | Internal Medicine | 3415 Maccorkle Avenue Se, Charleston, WV 25304 | 2007-06-29 |
| 1326151747 | Richard D Layne | Internal Medicine | 1 Stadium Drive, Morgantown, WV 26506 | 2006-08-17 |
| 1316050073 | Richard J Ham | Internal Medicine | 1 Stadium Drive, Morgantown, WV 26506 | 2006-08-16 |
| 1861453136 | Glenn Russell Snider Jr. | Internal Medicine | 1 Medical Center Drive, Mail Stop 11, Clarksburg, WV 26301 | 2006-03-28 |
| 1770542052 | Pramoda Kumari Devabhaktuni | Internal Medicine | 1 Medical Center Drive, Louis A. Johnson Va Medical Center Drive, Clarksburg, WV 26301 | 2006-03-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.