Individual provider Active NPI

Reuben C Richardson III, MD

  • Neurology Physician
  • Montgomery, AL
National Provider Identifier
1124069125
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
10267 Issued in AL
Practice address
300 Taylor Rd Ste 400
Montgomery, AL 36117-3505
Phone
(334) 396-8884
Fax
(334) 396-8570
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 10267 AL Primary

Addresses

Primary practice location

300 Taylor Rd Ste 400
Montgomery, AL 36117-3505

Mailing address

300 Taylor Road
Medical Plaza I Suite 400
Montgomery, AL 36117-3505
Phone (334) 396-8884

Other identifiers 1

IdentifierTypeStateIssuer
000078170MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000537 AL Practitioner - Sleep MedicinePractitioner - Neurology 3779503776 Practice locations: Montgomery, AL

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
University of Alabama School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Taylor Rd
Medical Plaza I Suite 400
Montgomery, AL 36117-3505

Hospital & facility affiliations

  • Troy Regional Medical Center Hospital, Troy, AL, CCN 010126
  • Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
  • The Health Care Authority of the City of Greenville- LV Stabler Hospital Hospital, Greenville, AL, CCN 010150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10267ALMDNeurology Physician

Interoperability endpoints

  • Direct secure messaging: reuben.richardson@sleepdm.direct.medconnect-inc.com
  • Direct secure messaging: reuben.richardson@direct.baptistfirst.org

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1124069125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TAYLOR ROAD",
            "address_2": "MEDICAL PLAZA I SUITE 400",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173505",
            "telephone_number": "334-396-8884",
            "fax_number": "334-396-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TAYLOR RD STE 400",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173505",
            "telephone_number": "334-396-8884",
            "fax_number": "334-396-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "REUBEN",
        "middle_name": "C",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "10267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000078170",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.