| Bruce Wiles Richardson, MD | |
|
1185 Town Centre Dr Ste 220, Eagan, MN 55123-1186 | |
| (651) 379-1600 | |
| (651) 379-1650 |
| Full Name | Bruce Wiles Richardson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 47 Years |
| Location | 1185 Town Centre Dr Ste 220, Eagan, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699736066 | NPI | - | NPPES |
| 72226700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083B0002X | Preventive Medicine - Obesity Medicine | 25475 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 25475 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minnesota Center For Obesity Metabolism And Endocrinology Pa | 3971496761 | 3 |
| Entity Name | Minnesota Center For Obesity Metabolism & Endocrinology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164477709 PECOS PAC ID: 3971496761 Enrollment ID: O20040205000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Wiles Richardson, MD 1185 Town Centre Dr Ste 220, Eagan, MN 55123-1186 Ph: (651) 379-1600 | Bruce Wiles Richardson, MD 1185 Town Centre Dr Ste 220, Eagan, MN 55123-1186 Ph: (651) 379-1600 |
David Stuart Kyllo, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3460 Washington Dr, Ste 102, Eagan, MN 55122 Phone: 651-452-9240 Fax: 651-452-5440 | |
Sheila Rae Rodstein, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 Town Centre Dr, Eagan, MN 55123 Phone: 651-326-1515 Fax: 651-326-1519 | |
Dr. Dylan August Bindman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Yankee Doodle Rd, Eagan, MN 55121 Phone: 651-454-3970 | |
Dr. Kristina Marie Schultz, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Yankee Doodle Rd, Eagan, MN 55121 Phone: 651-454-3970 | |
John A Beall Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1110 Yankee Doodle Rd, Eagan, MN 55121 Phone: 651-454-3970 Fax: 651-905-5087 | |
Paul Joseph Dondlinger, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1110 Yankee Doodle Rd, Eagan, MN 55121 Phone: 651-454-3970 | |
Mr. Charles E Pogemiller Sr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 Town Centre Dr, Eagan, MN 55123 Phone: 651-326-1515 Fax: 651-326-1519 |