Brady L Richardson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18287 Issued in MS

Practice address

220 Highway 12 W
Kosciusko, MS 39090-3208

Phone

(662) 290-3150

Fax

(662) 290-3160

NPI assigned

Apr 10, 2006

Last updated

Jul 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Emergency Medicine

Education

University of Mississippi School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leake Emergency Group, LLCGroup PAC ID 4486985256, 15 clinicians

Attala Emergency Group LLCGroup PAC ID 5294984340, 13 clinicians

Yazoo Emergency Group, LLCGroup PAC ID 0749511574, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Hospice & Palliative Care of Ms Hospice, Flowood, MS, CCN 251511
• Baptist Medical Center Attala Hospital, Kosciusko, MS, CCN 251336
• Baptist Medical Center-Leake Hospital, Carthage, MS, CCN 251315
• Winston Medical Center Hospital, Louisville, MS, CCN 250027
• Baptist Medical Center Attala Nursing home, CCN 25Z336

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Attala Emergency Group LLC

  • Emergency Medicine Physician
  • Kosciusko, MS
  • NPI 1407103294
  Medicare reassignment Care Compare group NPD
• Leake Emergency Group, LLC

  • Emergency Medicine Physician
  • Carthage, MS
  • NPI 1669028130
  Medicare reassignment Care Compare group NPD
• Yazoo Emergency Group, LLC

  • Emergency Medicine Physician
  • Yazoo City, MS
  • NPI 1447806914
  Medicare reassignment Care Compare group NPD
• BMC - Attala, LLC

  dba BMC Attala Kosciusko Primary Care

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1023481595

  Family Medicine

  Medicare reassignment NPD
• Comprehensive Hospitalists of Ms, LLC

  • Hospitalist Physician
  • Amory, MS
  • NPI 1467856385
  Medicare reassignment NPD
• Premier Medical Group of Mississippi LLC

  dba Kosciusko Medical Clinic

  • Clinic/Center
  • Kosciusko, MS
  • NPI 1790827038
  Medicare reassignment NPD
• Comprehensive Hospitalists of Ms, LLC

  • Hospitalist Physician
  • Oxford, MS
  • NPI 1659779767
  NPD
• Comprehensive Hospitalists of Ms, LLC

  • Hospitalist Physician
  • Clarksdale, MS
  • NPI 1710371679
  NPD
• Montfort Jones Memorial Hospital

  • General Acute Care Hospital
  • Kosciusko, MS
  • NPI 1851508816
  NPD (past)
• Premier Medical Group of Mississippi LLC

  dba Jackson Medical Clinic LLC

  • Clinic/Center
  • Jackson, MS
  • NPI 1548219884
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Medical Center-Leake Inc

  • Critical Access Hospital
  • Carthage, MS
  • NPI 1205112539
  Care Compare affiliation
• BMC - Attala, LLC

  dba Baptist Medical Center - Attala

  • Critical Access Hospital
  • Kosciusko, MS
  • NPI 1730566027
  Care Compare affiliation
• BMC - Attala, LLC

  dba Baptist Medical Center - Attala

  • Medicare Defined Swing Bed Hospital Unit
  • Kosciusko, MS
  • NPI 1750769865

  Nursing home

  Care Compare affiliation
• Sta-Home Hospice of Mississippi, Inc.

  dba AccentCare Hospice & Palliative Care of Mississippi

  • Community Based Hospice Care Agency
  • Flowood, MS
  • NPI 1144491077
  Care Compare affiliation
• Winston County Medical Foundation

  dba Winston Medical Center

  • General Acute Care Hospital
  • Louisville, MS
  • NPI 1073597126
  Care Compare affiliation

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1598728586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HIGHWAY 12 W",
            "address_2": "BAPTIST MED CTR KOSCIUSKO",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903208",
            "telephone_number": "662-290-3150",
            "fax_number": "662-290-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HIGHWAY 12 W",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903208",
            "telephone_number": "662-290-3150",
            "fax_number": "662-290-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "BRADY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "18287",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "18287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03482344",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Margaret Rawson, LPC, NCC
• Kimberly Denise Rayburn
• George Robert Rea, RPH
• Joy W Reynolds, NP-C
• Amy Katherine Patterson Richardson, PMHNP
• Breck T Richardson, M.D.
• Allison Roach
• Robin Pee Counseling & Consulting LLC (Southern Psychology)
• Ronnie S. Christian, MD, P. C.
• Routt Eye Clinic

• Family Medicine Physician in Kosciusko, MS
• Providers in Kosciusko, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.