National Provider Identifier Database

BRECK T RICHARDSON, MD – NPI #1962645770
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

BRECK T RICHARDSON, MD
332 HWY 12 WEST
KOSCIUSKO, MS39090
Phone: 662-289-1800
Fax: 662-289-2486
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for BRECK T RICHARDSON

NPI Number 1962645770
Credentials MD
Entity Individual
Enumeration date 04/08/2009
Last updated 12/11/2012 - About 13 years ago
Sole proprietor1 No
Identifiers
  • MS License #: 21932
  • MS Medicaid: 09723710
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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