Eugene Lee Richardson, M.D.
Individual provider Active NPI Specialist · Laurel, MT
NPI 1235310772 · NPPES record last updated Nov 26, 2007
Key facts
- NPI
- 1235310772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 3193 (MT)
- Practice address
- 319 1St Ave
Laurel, MT 59044-3031 - Phone
- (406) 628-4955
- Fax
- (406) 628-4362
- NPI assigned
- Nov 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3193 | MT | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCL Health Medical Group - Billings, LLC | Past | Accepting new patients | |
| SCL Health Montana | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 3193 | MT | Yes |
Addresses
Primary practice location
319 1St Ave
Laurel, MT 59044-3031
Mailing address
319 1St Ave
Laurel, MT 59044-3031
Phone (406) 628-4955
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00275410 | Other | MT | RAILROAD MEDICARE |
Other providers in Laurel, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.