Individual
BRIAN G RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
12334
WV
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
12334
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083419000
—
WV
01
—
110240176
RR/MEDICARE
WV
01
—
236228
ANTHEM
WV
01
—
540913938
CARELINK
WV
01
—
752887493002
TRICARE
WV
Enumeration date
06/16/2005
Last updated
05/13/2009
Update your record
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