MEDICARE: DR. RICHARD WILLIAM MCBRIDE DC

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
1	111NN1001X	Nutrition Chiropractor	CH9616	FL

General Provider Information

NPI Number	:	1558078881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD WILLIAM MCBRIDE DC

Provider Business Mailing Address
First Line	:	127 N GARDEN AVE
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33755-4119
Country	:	US
Telephone Number	:	727-977-9005
Fax Number	:

Provider Business Practice Location Address
First Line	:	127 N GARDEN AVE
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33755-4119
Country	:	US
Telephone Number	:	727-977-9005
Fax Number	:

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

Provider Enumeration Date	:	11/07/2022
Last Update Date	:	11/07/2022

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Directions to “ DR. RICHARD WILLIAM MCBRIDE DC” Practice Location

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