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NPI Code Detail

MEDICARE: BRETT R RICHMAN M.D.

MEDICARE: BRETT R RICHMAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician31099IA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2160031019OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1IA0134OTHERJOHN DEERE HEALTH CARE
353649OTHERWELLMARK
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598763286
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRETT R RICHMAN M.D.
Provider Business Mailing Address
First Line : 1015 S HACKETT RD
Second Line : SUITE 200
City : WATERLOO
State : IA
Zip : 50701-3500
Country : US
Telephone Number : 319-266-5491
Fax Number : 319-266-6687
Provider Business Practice Location Address
First Line : 1015 S HACKETT RD
Second Line : SUITE 200
City : WATERLOO
State : IA
Zip : 50701-3500
Country : US
Telephone Number : 319-266-5491
Fax Number : 319-266-6687
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 02/06/2015

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Directions to “ BRETT R RICHMAN M.D.” Practice Location

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