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NPI Code Detail

MEDICARE: DR. RICHARD BILBREY M.D.

MEDICARE: DR. RICHARD BILBREY 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
12085R0202XDiagnostic Radiology Physician5288TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619954955
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD BILBREY M.D.
Provider Business Mailing Address
First Line : PO BOX 3139
Second Line :
City : CROSSVILLE
State : TN
Zip : 38557-3139
Country : US
Telephone Number : 931-484-0048
Fax Number :
Provider Business Practice Location Address
First Line : 421 S MAIN ST
Second Line :
City : CROSSVILLE
State : TN
Zip : 38555-5048
Country : US
Telephone Number : 931-484-9511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 03/07/2023

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