Active NPI
Richard R Six, MD
- Diagnostic Radiology Physician
- Brandon, FL
National Provider Identifier
1235181777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0030858
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165976507 | Medicaid | TX | |
| 0451894-00 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0030858 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rose Radiology Centers, LLC | Past | Accepting new patients | |
| Phycon Medical Sciences Inc | Past | Accepting new patients | |
| Bloomingdale Radiology Corp | Past | 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.
-
- Radiology Clinic/Center
- Brandon, FL
- NPI 1467499863
-
- Physiological Laboratory
- Tampa, FL
- NPI 1467419549
-
- Radiology Clinic/Center
- Brandon, FL
- NPI 1629162904
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1780911206
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1932133675
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.