MEDICARE: DR. RICHARD BRUCE KARSH M.D.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	17737	CO

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
12	P00184866	OTHER	GA	RR MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SSN	OTHER	GA	CHAMPUS TRICARE
2	366207	OTHER	GA	WELLCARE
3	52238787002	OTHER		BCBS OF GEORGIA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	60034177	OTHER	AL	BCBS OF ALABAMA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1114902384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD BRUCE KARSH M.D.

Provider Business Mailing Address
First Line	:	1431 CENTERPOINT BLVD
Second Line	:	SUITE 100
City	:	KNOXVILLE
State	:	TN
Zip	:	37932-1984
Country	:	US
Telephone Number	:	865-985-7185
Fax Number	:

Provider Business Practice Location Address
First Line	:	1460 MESA RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80904-2870
Country	:	US
Telephone Number	:	406-730-2088
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2005
Last Update Date	:	02/15/2012

5611 NW 86TH AVE
CORAL SPRINGS, FL
33067-2870

Practice Phone: 954-709-6570
Practice Fax: