| Dr Brian Richardson, MD | |
|
1722 Pine St, Suite 502, Montgomery, AL 36106-1103 | |
| (334) 293-8588 | |
| (334) 293-6978 |
| Full Name | Dr Brian Richardson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 1722 Pine St, Montgomery, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861565624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | TRN10140 (Florida) | Secondary |
| 208800000X | Urology | MD.31014 (Alabama) | Primary |
| Entity Name | Jackson Hospital And Clinic, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073264107 PECOS PAC ID: 0547254153 Enrollment ID: O20040414000971 |
| Entity Name | Advanced Urology Medical Practice Of Montgomery Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518654110 PECOS PAC ID: 4385000447 Enrollment ID: O20230515002787 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Richardson, MD 2257 Taylor Rd, Suite 200, Montgomery, AL 36117-7790 Ph: (334) 270-9914 | Dr Brian Richardson, MD 1722 Pine St, Suite 502, Montgomery, AL 36106-1103 Ph: (334) 293-8588 |
Geoffrey Michael Habermacher, M.D., PHD Urology Medicare: Accepting Medicare Assignments Practice Location: 2119 E South Blvd, Suite 200, Montgomery, AL 36116 Phone: 334-613-7070 Fax: 334-613-7072 | |
Dr. Charles Lattanzi, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 215 Perry Hill Rd, 115s, Montgomery, AL 36109 Phone: 334-272-4670 | |
Dr. Himanshu Aggarwal, M.D., M.S. Urology Medicare: Accepting Medicare Assignments Practice Location: 1722 Pine St Ste 503, Montgomery, AL 36106 Phone: 334-293-8271 Fax: 334-293-8273 | |
Dr. Dharampal Bhuta, MD Urology Medicare: Medicare Enrolled Practice Location: 345 Saint Lukes Dr, Montgomery, AL 36117 Phone: 334-279-5737 Fax: 334-279-1048 | |
Dr. Peter Scott Shashy, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1722 Pine St, Suite 502, Montgomery, AL 36106 Phone: 334-262-4418 Fax: 334-264-5483 | |
Dr. Sundip S Patel, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 2119 E South Blvd, Suite 200, Montgomery, AL 36116 Phone: 334-613-7070 Fax: 334-613-7072 | |
Dr. Tony E Pinson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 470 Taylor Rd Ste 201, Montgomery, AL 36117 Phone: 334-613-7070 Fax: 334-747-9730 |