Individual
BRUCE E RICHARDS
Active
Individual
BRUCE E RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16031
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110235818
RR MEDICARE
TN
05
—
3016806
—
TN
01
—
4036284
BLUE CROSS BLUE SHIELD
TN
01
—
4170783
BLUE CROSS-BLUE SHIELD
TN
01
—
4322432
AETNA
TN
Enumeration date
06/19/2006
Last updated
10/20/2014
Update your record
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