Individual provider Active NPI

Richard R Six, MD

  • Diagnostic Radiology Physician
  • Brandon, FL
National Provider Identifier
1235181777
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0030858 Issued in FL
Practice address
618 Vintage Way
Brandon, FL 33511-6366
Phone
(772) 463-8256
Fax
(772) 463-7795
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0030858 FL Primary
Diagnostic Radiology Physician 2085R0202X D6684 TX

Addresses

Primary practice location

618 Vintage Way
Brandon, FL 33511-6366

Mailing address

618 Vintage Way
Brandon, FL 33511-6366
Phone (772) 463-8256

Other identifiers 2

IdentifierTypeStateIssuer
165976507MedicaidTX
0451894-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0030858FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Radiology Centers, LLC PastSince Apr 1, 2011 Accepting new patients
Phycon Medical Sciences Inc PastSince Nov 2, 2004 Accepting new patients
Bloomingdale Radiology Corp PastSince Nov 12, 2002 Accepting new patients
Southwest Florida Emergency Management LLC Past Accepting new patients
Team Radiology Physicians, PA Diagnostic Radiology Past Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1235181777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 VINTAGE WAY",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116366",
            "telephone_number": "772-463-8256",
            "fax_number": "772-463-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 VINTAGE WAY",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116366",
            "telephone_number": "772-463-8256",
            "fax_number": "772-463-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIX",
        "first_name": "RICHARD",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "0030858",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "D6684",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165976507",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0451894-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.