Active NPI
Richard Warren Sumrall, MD
- Family Medicine Physician
- Patrick AFB, FL
National Provider Identifier
1528023595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME138595
- Practice address
- 1381 S Patrick Dr
Patrick AFB, FL 32925-3606 - Phone
- (321) 494-8241
- NPI assigned
- Apr 20, 2006
- Last updated
- Jun 23, 2026
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME138595 | FL | Primary |
| 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
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME138595 | FL | MD | Aerospace Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1528023595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1381 S PATRICK DR",
"city": "PATRICK AFB",
"state": "FL",
"postal_code": "329253606",
"telephone_number": "321-494-8241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1381 S PATRICK DR",
"city": "PATRICK AFB",
"state": "FL",
"postal_code": "329253606",
"telephone_number": "321-494-8241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMRALL",
"first_name": "RICHARD",
"middle_name": "WARREN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME138595",
"primary": true
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "FL",
"license": "ME138595",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Patrick AFB, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.