Brady L Richardson (NPI# 1598728586, PAC ID# 9335127562) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1598728586 |
| PAC ID by PECOS | 9335127562 |
| Professional Enrollment ID | I20040713000576 |
| Full Name | Brady L Richardson |
| Organization Legal Name | LEAKE EMERGENCY GROUP, LLC |
| Address |
1100 Hwy 16 E Carthage MS 39051-4222 |
| Phone Number | 6012671100 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4486985256 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251336 | BAPTIST MEDICAL CENTER ATTALA |
| 251315 | BAPTIST MEDICAL CENTER-LEAKE |
| Address | Phone | Organization |
|---|---|---|
| 1100 Hwy 16 E, Carthage, MS 39051-4222 | 6012671100 | LEAKE EMERGENCY GROUP, LLC |
| 220 Hwy 12 W, Kosciusko, MS 39090-3208 | 6622894311 | ATTALA EMERGENCY GROUP LLC |
| Organization Legal Name | LEAKE EMERGENCY GROUP, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linus B Martin Iii | Emergency Medicine | Leake Emergency Group, LLC | 1100 Hwy 16 E, Carthage, MS 39051-4222 |
| Joe K Robbins Iii | Emergency Medicine | Leake Emergency Group, LLC | 1100 Hwy 16 E, Carthage, MS 39051-4222 |
| Calvin P Poole | Emergency Medicine | Leake Emergency Group, LLC | 1100 Hwy 16 E, Carthage, MS 39051-4222 |
| Manuel Lim Ong Jr. | Internal Medicine | Leake Emergency Group, LLC | 1100 Hwy 16 E, Carthage, MS 39051-4222 |
| Street Address |
1100 HWY 16 E |
| City | CARTHAGE |
| State | MS |
| Zip | 39051-4222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tommie K Jones | Nurse Practitioner | Baptist Medical Center-leake Inc | 1100 Hwy 16 E, Baptist Leake Primary Care Center, Carthage, MS 39051-4222 |
| William Douglas Perry | Family Medicine | Baptist Medical Center-leake Inc | 1100 Hwy 16 E, Baptist Leake Primary Care Center, Carthage, MS 39051-4222 |
| Jonathan M Buchanan | Family Medicine | Baptist Medical Center-leake Inc | 1100 Hwy 16 E, Baptist Leake Primary Care Center, Carthage, MS 39051-4222 |
| Tonia Holley | Nurse Practitioner | Baptist Medical Center-leake Inc | 1100 Hwy 16 E, Baptist Leake Primary Care Center, Carthage, MS 39051-4222 |
| William Harper | Cardiovascular Disease (cardiology) | Medical Foundation of Central Mississippi Inc | 1100 Hwy 16 E, Carthage, MS 39051-4222 |
| William H Jones Iii | Interventional Cardiology | Medical Foundation of Central Mississippi Inc | 1100 Hwy 16 E, Carthage, MS 39051-4222 |
| Constance D Wilkerson | Nurse Practitioner | Baptist Medical Center-leake Inc | 1100 Hwy 16 E, Baptist Leake Primary Care Center, Carthage, MS 39051-4222 |
| Henry C Waterer Iii | Cardiovascular Disease (cardiology) | Medical Foundation of Central Mississippi Inc | 1100 Hwy 16 E, Carthage, MS 39051-4222 |
| James L Warnock Jr. | Cardiovascular Disease (cardiology) | Medical Foundation of Central Mississippi Inc | 1100 Hwy 16 E, Carthage, MS 39051-4222 |
| Laura K. Moore | Nurse Practitioner | Baptist Medical Center-leake Inc | 1100 Hwy 16 E, Baptist Leake Primary Care Center, Carthage, MS 39051-4222 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Lawrence Moody | Family Medicine | Madden Medical Clinic, LLC | 1071 E Franklin St, Carthage, MS 39051-3699 |
| Amber Atkinson | Nurse Practitioner | Madden Medical Clinic, LLC | 1071 E Franklin St, Carthage, MS 39051-3699 |
| Crystal H Martin | Nurse Practitioner | Premier Medical Group of Mississippi LLC | 407 S Valley St, Carthage, MS 39051-4051 |
| James J Withers | Family Medicine | Premier Medical Group of Mississippi LLC | 407 S Valley St, Carthage, MS 39051-4051 |
| Randi A Watkins | Nurse Practitioner | Premier Medical Group of Mississippi LLC | 407 S Valley St, Carthage, MS 39051-4051 |
| D Stanley Hartness | Family Medicine | Premier Medical Group of Mississippi LLC | 407 S Valley St, Carthage, MS 39051-4051 |
| John G Wallace | Family Medicine | Premier Medical Group of Mississippi LLC | 407 S Valley St, Carthage, MS 39051-4051 |
| Kimberly C Agent | Nurse Practitioner | Premier Medical Group of Mississippi LLC | 407 S Valley St, Carthage, MS 39051-4051 |
| Samuel Holdiness | Internal Medicine | Premier Medical Group of Mississippi LLC | 407 S Valley St, Carthage, MS 39051-4051 |
| Neil H Simmons | Optometry | 110 N Van Buren St, Carthage, MS 39051-4126 | |
| Find all physicians in zip 39051 | |||
| City | CARTHAGE |
| Zip Code | 39051 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CARTHAGE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Brady L Richardson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.