Healthcare Provider Details

I. General information

NPI: 1336363779
Provider Name (Legal Business Name): RICHARD A TURNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 04/12/2021
Certification Date: 04/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11137 US HIGHWAY 52
BROOKVILLE IN
47012-7901
US

IV. Provider business mailing address

PO BOX 236
BATESVILLE IN
47006-0236
US

V. Phone/Fax

Practice location:
  • Phone: 765-647-5126
  • Fax: 765-647-5900
Mailing address:
  • Phone: 812-933-5441
  • Fax: 812-993-3544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.091320
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01077567A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: