Individual
BRIAN K RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 GARFIELD AVE, PARKERSBURG, WV 26101-5340
(304) 424-2111
(904) 346-0113
Mailing address
PO BOX 763, MORGANTOWN, WV 26507-0763
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21930
WV
207P00000X
Emergency Medicine Physician
35.084607
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376586396
—
VA
01
—
2584163
OHIO MEDICAID
OH
05
—
3810003865
—
WV
01
—
P00272521
RAILROAD MEDICARE
WV
Enumeration date
06/14/2006
Last updated
03/20/2025
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