MR. BRUCE L. RICHARDSON JR. (NPI# 1295779346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295779346 |
| Entity Type | Individual |
| Full Name | MR. BRUCE L. RICHARDSON JR. |
| Credential | IDC |
| Practice Address |
937 Franklin Ave Branch Health Clinic Lemoore Lemoore CA 93246-0001 |
| Practice Telephone | 5599984314 |
| Practice Fax Number | 5599984313 |
| Mailing Telephone | 5599984314 |
| Mailing Fax Number | 5599984313 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982031316 | Bruce Levoyle Richardson | Dentist | 3048 Sw Comus St, Portland, OR 97219-7692 | 2013-09-30 |
| 1033420732 | Bruce Coral Richardson | Occupational Therapist | 272 Glenrobin Dr, Eden, NC 27288-8094 | 2010-06-28 |
| 1427020940 | Bruce W Richardson | Family Medicine | 10505 River Rd, Havre, MT 59501-8235 | 2006-02-07 |
| 1205059680 | Bruce C Richardson | Chiropractor | 8440 W Thunderbird Rd, Peoria, AZ 85381-4803 | 2007-04-11 |
| 1467514471 | Bruce Walter Richardson | Counselor | 977 Taylor St Sw # A, Conyers, GA 30012-5357 | 2006-12-15 |
| 1477638989 | Bruce C Richardson | Internal Medicine | 1500 East Medical Center Dr, 3rd Floor Taubman Ctr Recp A, Ann Arbor, MI 48109-5370 | 2006-10-25 |
| 1306959424 | Bruce W Richardson | Dentist | 317 W Cherry Ln, Meridian, ID 83642-1608 | 2006-08-15 |
| 1699736066 | Bruce Wiles Richardson | Family Medicine | 150 Emerson Ave E, Suite 100, Saint Paul, MN 55118-2535 | 2006-03-28 |
| Street Address |
937 FRANKLIN AVE BRANCH HEALTH CLINIC LEMOORE |
| City | LEMOORE |
| State | CA |
| Zip Code | 93246-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730168253 | Candace Ann Cornett | Physical Therapist | 937 Franklin Ave, Lemoore, CA 93246-0001 | 2006-01-12 |
| 1285861393 | Michael Martin Lee | Family Medicine | 937 Franklin Ave, Naval Health Clinic Lemoore, Lemoore, CA 93246 | 2009-06-16 |
| 1760686463 | Judd Atwood Whiting | Anesthesiology | 937 Franklin Ave, Dept of Anesthesia, Lemoore, CA 93245 | 2007-06-14 |
| 1699811158 | Irene Hanson | Nurse Practitioner | 937 Franklin Ave, Lemoore, CA 93245-2931 | 2007-01-30 |
| 1528037793 | Jack Lane | Family Medicine | 937 Franklin Ave, Lemoore, CA 93246-0001 | 2006-03-17 |
| 1932171048 | George Goodreau | Pharmacist | 937 Franklin Ave, Lemoore, CA 93246-0001 | 2006-02-02 |
| 1275503674 | William Edward Kelly | Pharmacist | 937 Franklin Ave, Lemoore, CA 93246-0001 | 2006-01-26 |
| 1538130885 | Gunlog M Spaberg | Advanced Practice Midwife | 937 Franklin Ave, Lemoore, CA 93246-0001 | 2006-01-26 |
| 1992775472 | Tinsika Isidra Riggs | Dietitian, Registered | 937 Franklin Ave, Lemoore, CA 93246-0001 | 2006-01-25 |
| 1619947454 | Deborah Rhae Salom | Family Medicine | 937 Franklin Ave, Lemoore, CA 93246-0001 | 2006-01-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235596701 | Eric Earnshaw | General Practice | 937 Franklin Blvd, Lemoore, CA 93246 | 2016-01-28 |
| 1699167734 | Troy Biornstad | Pharmacist | 937 Franklin Blvd, Lemoore, CA 93246 | 2015-02-26 |
| 1497152045 | Naval Hospital Lemoore | Military Hospital | 937 Franklin Avenue, Fpo, AA 93246 | 2014-11-25 |
| 1841610953 | Gillian Wackowski | Family Medicine | 937 Franklin Blvd, Lemoore, CA 93246 | 2014-04-16 |
| 1831689793 | Gerald Patrick Durkan IIi | General Practice | Carrier Air Wing Nine 30 Skytrain Ave Unit 9, Lemoore, CA 93246-0001 | 2018-05-16 |
| 1790878270 | George Sargeits | Chiropractor | Naval Air Station Lemore Hospital, 937 Franklin Avenue, Lemoore, CA 93246-0001 | 2006-10-02 |
| 1356300263 | Naval Health Clinic Lemoore | Clinic/Center | 937 Franklin Avenue, Lemoore, CA 93246-0001 | 2006-03-20 |
| 1962475970 | James C Dunn II | Preventive Medicine | Naval Hospital Lemoore 937 Franklin Ave, Attn: Physician Credentialing/staff Services, Lemoore, CA 93246-0001 | 2006-02-09 |
| 1134199797 | James Thomas Stasiak | Internal Medicine | Naval Hospital, Lemoore, 937 Franklin Avenue, Nas Lemoore, CA 93246-0001 | 2006-01-25 |
| 1962482125 | Yasir F Bahrani | Dentist | 926 Franklin Ave, Lemoore, CA 93246-0001 | 2006-01-21 |
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| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255758967 | Justin Paul Vecere Sr. | Military Health Care Provider | 934 Franklin Blvd, Lemoore, CA 93246-4600 | 2014-03-20 |
| 1528472420 | Latoya Powell | Military Health Care Provider | Naval Hospital Lemoore, 937 Franklin Avenue, Lemoore, CA 93246-5004 | 2014-06-18 |
| 1437595865 | Christopher Climaco Williams | Military Health Care Provider | 937 Franklin Blvd, Lemoore, CA 93246-4700 | 2013-05-13 |
| 1467762914 | David Orolfo Sarsozo | Military Health Care Provider | 937 Franklin Blvd, Naval Hospital Lemoore, Lemoore, CA 93246-0001 | 2010-10-18 |
| 1912210741 | Arcie Zamora Santos | Military Health Care Provider | 937 Franklin Blvd, Lemoore, CA 93246-4700 | 2010-07-21 |
| 1164661732 | Louie Badiola Bismonte | Military Health Care Provider | 937 Franklin Blvd, Lemoore, CA 93246-4700 | 2009-02-05 |
| 1841498227 | Kathleen L Pierce | Military Health Care Provider | 937 Franklin Blvd, Lemoore, CA 93246-4700 | 2007-07-06 |
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| 1639782899 | Tyler Collin Sparks | Military Health Care Provider | 1 Mrb, Camp Pendletion, CA 92055 | 2020-08-27 |
| 1013520667 | Rashaad Brown | Military Health Care Provider | 4454 Cherokee Ave Apt 2, San Diego, CA 92116-3611 | 2020-08-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.