Richard Warren Sumrall, MD

Individual provider Active NPI Family Medicine Physician · Patrick Afb, FL

NPI 1528023595 · NPPES record last updated Jun 23, 2026

Key facts

NPI
1528023595
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
ME138595 (FL)
Practice address
1381 S Patrick Dr
Patrick Afb, FL 32925-3606
Phone
(321) 494-8241
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD049564LPAMDAerospace Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME138595 FL Yes
Aerospace Medicine Physician 2083A0100X ME138595 FL

Addresses

Primary practice location

1381 S Patrick Dr
Patrick Afb, FL 32925-3606

Mailing address

1381 S Patrick Dr
Patrick Afb, FL 32925-3606
Phone (321) 494-8241

Other providers in Patrick Afb, FL

All providers in Patrick Afb, FL · Family Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.