Reginald Barnette Richardson Jr., DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

310 Issued in NC

Practice address

3333 Wilkinson Blvd
Charlotte, NC 28208-5631

Phone

(704) 737-6126

NPI assigned

May 22, 2008

Last updated

Sep 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gooden Mobile Pod NC PLLCGroup PAC ID 2769738715, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.23 of 100Reported as group

Quality

50.17

Promoting interoperability

100

Improvement activities

40

Cost

77.26

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gooden Mobile Pod NC PLLC

  • Podiatrist
  • Fayetteville, NC
  • NPI 1073003752
  Medicare reassignment Care Compare group NPD
• Physician Home Care

  dba Physicians Home Care

  • Home Health Agency
  • Charlotte, NC
  • NPI 1619100062
  NPD (past) Authorized official

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1104083427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668093",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282668093",
            "telephone_number": "704-737-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 WILKINSON BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085631",
            "telephone_number": "704-737-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "REGINALD",
        "middle_name": "BARNETTE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Richardson
• Michael Sheldon Richardson, MD
• Michaela Richardson
• Nadia Richardson, CLD
• Nicholena Richardson, MD
• Richard A Richardson, PA-C
• Rondell L Richardson, CO, BOCP
• Rose Richardson, MA, LMFTA
• Sonyia Copeland Richardson, LCSW
• Yvette Richardson, MSW/LCSWA

• Foot & Ankle Surgery Podiatrist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Foot & Ankle Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.