Healthcare Provider Details

I. General information

NPI: 1932134822
Provider Name (Legal Business Name): RICHARD BRENT TOMPKINS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 01/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1274 LOMBARD TRAIL
REDDING CA
96001
US

IV. Provider business mailing address

1274 LOMBARD TRL
REDDING CA
96001-1379
US

V. Phone/Fax

Practice location:
  • Phone: 530-244-5400
  • Fax: 530-244-5436
Mailing address:
  • Phone: 530-244-5400
  • Fax: 530-244-5436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG76216
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG76216
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberG76216
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: