Richard B Cox, DO
Individual provider Active NPI Family Medicine Physician · Brazil, IN
NPI 1659352995 · NPPES record last updated May 22, 2017
Key facts
- NPI
- 1659352995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02001988A (IN)
- Practice address
- 1214 E National Ave Ste 100
Brazil, IN 47834-2700 - Phone
- (812) 442-2820
- NPI assigned
- Nov 11, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240530002001 | IN | Order and Referring Only - Family Practice |
7315993847 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02001988A | IN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greene County General Hospital LLC | Family Medicine | Past | Accepting new patients |
| Midwest Medical Management, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 02001988A | IN | |
| Family Medicine Physician | 207Q00000X | 02001988A | IN | Yes |
Addresses
Primary practice location
1214 E National Ave Ste 100
Brazil, IN 47834-2700
Mailing address
10330 N Meridian St # 300
Indianapolis, IN 46290-1024
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200243120 | Medicaid | IN |
Other providers in Brazil, IN
- Clay County Podiatry, LLC
- Jennifer Lynn Clodfelter
- Linda Kay Colter
- Alyssa Cook
- Core Kinetics Physical Therapy
- Dalton Chiropractic Center PC
- Michael Joseph Dalton
- Raymond L Dennany III
- Robert S Donathan
- Dr Linda Colter LLC
All providers in Brazil, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.