BRUCE WILES RICHARDSON (NPI# 1699736066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699736066 |
| Entity Type | Individual |
| Full Name | BRUCE WILES RICHARDSON |
| Credential | MD |
| Practice Address |
150 Emerson Ave E Suite 100 Saint Paul MN 55118-2535 |
| Mailing Address |
Po Box 43 Mr 10809 Minneapolis MN 55440-0043 |
| Practice Telephone | 6515523800 |
| Mailing Telephone | 6122624813 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2011-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25475 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 72226700 | 05 |
| 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 |
| 1295779346 | Bruce L. Richardson Jr. | Military Health Care Provider | 937 Franklin Ave, Branch Health Clinic Lemoore, Lemoore, CA 93246-0001 | 2006-06-16 |
| Street Address |
150 EMERSON AVE E SUITE 100 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55118-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710249891 | Alycia Trossen-kapur | Family Medicine | 150 Emerson Ave E, Saint Paul, MN 55118 | 2012-06-13 |
| 1083640684 | Simon Nicholas Fenton | Family Medicine | 150 Emerson Ave E, Saint Paul, MN 55118-2535 | 2006-06-24 |
| 1942251533 | Elizabeth Marie Ezell | Family Medicine | 150 Emerson Ave E, Saint Paul, MN 55118-2535 | 2006-05-16 |
| 1215990163 | Carolyn J Borow | Family Medicine | 150 Emerson Ave E, Saint Paul, MN 55118-2535 | 2006-04-11 |
| 1477516425 | Sean T Hearn | Family Medicine | 150 Emerson Ave E, Saint Paul, MN 55118-2535 | 2006-04-10 |
| 1598728065 | Mary F Cady | Family Medicine | 150 Emerson Ave E, Suite 100, Saint Paul, MN 55118-2535 | 2006-04-07 |
| 1457314098 | James W Haight | Family Medicine | 150 Emerson Ave E, Saint Paul, MN 55118-2535 | 2006-04-06 |
| 1568424844 | William David Mcconnell | Family Medicine | 150 Emerson Ave E, Suite 100, Saint Paul, MN 55118-2535 | 2006-04-04 |
| 1730141136 | Mary Morrison Grove | Psychologist | 150 Emerson Ave E, Suite 100, Saint Paul, MN 55118-2535 | 2006-04-03 |
| 1568423101 | Jessica Dailey | Family Medicine | 150 Emerson Ave E, Suite 100, Saint Paul, MN 55118-2535 | 2006-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033764428 | Able Solutions LLC | Day Training, Developmentally Disabled Services | 260 E Wentworth Ave Suite 112, St Paul, MN 55118 | 2019-08-03 |
| 1861059974 | Tanya F Langford | Massage Therapist | 3627 Cedar Ave No., 1166 S Robert St. St. Paul West, St. Paul, MN 55118 | 2019-05-23 |
| 1396210779 | Southview Operations LLC | Skilled Nursing Facility | 2000 Oakdale Avenue, West St. Paul, MN 55118 | 2018-10-11 |
| 1538643424 | Marcus James Rohrbauck | Social Worker | 1312-1314 Livingston Avenue, West St. Paul, MN 55118 | 2018-09-18 |
| 1609394287 | Eric Graham Dorr | Pharmacist | 149 Thompson Ave East, Suite 150, West Saint Paul, MN 55118 | 2017-09-05 |
| 1518485242 | Meaghan Claire Puckett | Marriage & Family Therapist | 33 Wentworth Ave E Ste 210, West St Paul, MN 55118 | 2017-09-01 |
| 1174078307 | Michal Frank | Counselor | 240 Dakota St, West Saint Paul, MN 55118 | 2016-08-17 |
| 1184011868 | Rachel Devries | Pediatrics | 1880 Livingston Ave Ste 102, West St Paul, MN 55118 | 2015-04-21 |
| 1124411772 | Ahmed Salad Associates | Dentist | 1200 S Robert St, Suite C, St Paul, MN 55118 | 2015-03-06 |
| 1225458458 | Shellea J Altman | Dentist | 576 High Ridge Circle, Mendota Heights, MN 55118 | 2014-04-28 |
| Find all providers in zip 55118 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457889420 | Thanh Phung | Family Medicine | 2155 Ford Pkwy Ste A, Saint Paul, MN 55116-2799 | 2017-06-02 |
| 1518338268 | Northstar Professional Services | Family Medicine | 924 Rice St, Saint Paul, MN 55117-4987 | 2015-10-07 |
| 1386064111 | Laura Giegler | Family Medicine | 1983 Sloan Pl Ste 1, Saint Paul, MN 55117 | 2014-04-19 |
| 1306287719 | John Gordon Faughnan | Family Medicine | 1660 Stanford Ave, Saint Paul, MN 55105-2038 | 2013-07-13 |
| 1194041277 | Mark William Eaton | Family Medicine | 333 Smith Ave N # Ms 60202, Saint Paul, MN 55102-2344 | 2010-04-14 |
| 1326277815 | Branden James Pfefferkorn | Family Medicine | 2004 Ford Pkwy # Ms 35300a, Saint Paul, MN 55116-1931 | 2009-07-07 |
| 1780812651 | James Edward Hougas IIi | Family Medicine | Ump Phalen Village Clinic, 1414 Maryland Ave E, Saint Paul, MN 55106 | 2009-06-30 |
| 1871748509 | Deborah Lee Wexler | Family Medicine | 1573 Selby Ave, Suite 234, Saint Paul, MN 55104-6293 | 2008-11-21 |
| 1124206677 | Family Healthservices Minnesota, P.a. | Family Medicine | 2025 Sloan Pl, Suite 35, Saint Paul, MN 55117-2007 | 2008-02-07 |
| 1174703805 | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | Family Medicine | 1385 Phalen Boulevard, Saint Paul, MN 55106 | 2007-11-09 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55118 |
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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.