Reform Medical Clinic

Primary specialty

Personal Emergency Response AttendantTaxonomy code 146D00000X

License

11725 Issued in AL

Legal business name

REFORM MEDICAL CLINIC

Doing business as

Harry L Richardson

Practice address

514 10TH Avenue South West
Reform, AL 35481-0670

Phone

(205) 375-6251

Fax

(205) 375-9064

NPI assigned

Dec 15, 2008

Last updated

Dec 15, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Harry Lee Richardson, MDNPI 1780627356

Title

Medicarl Doctor

Phone

(205) 375-6251

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Harry L Richardson Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harry Lee Richardson Jr., MD

  • Family Medicine Physician
  • Reform, AL
  • NPI 1780627356
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1033354477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 10TH AVENUE SOUTH WEST",
            "city": "REFORM",
            "state": "AL",
            "postal_code": "354810670",
            "telephone_number": "205-375-6251",
            "fax_number": "205-375-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 10TH AVENUE SOUTH WEST",
            "city": "REFORM",
            "state": "AL",
            "postal_code": "354810670",
            "telephone_number": "205-375-6251",
            "fax_number": "205-375-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFORM MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MEDICARL DOCTOR",
        "authorized_official_telephone_number": "205-375-6251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "AL",
            "license": "11725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD OF ALABAMA",
            "identifier": "051076801",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000084188",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "080138169",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harry L Richardson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pickens County Medical Center, Inc (Reform Primary Care)
• Pickens County Primary Care PC
• Pickens County Primary Care, P.C
• Pickens County Primary Care, PC
• Theresa Darlene Putman, CRNP
• Reform Pharmacy Inc
• Reform Rural Health Center PC
• Harry Lee Richardson Jr., MD
• Brenda Sue Robertson
• Robrich Enterprise LLC (Robertson Medical)

• Personal Emergency Response Attendant in Reform, AL
• Providers in Reform, AL by specialty
• Personal Emergency Response Attendant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.