Bradley A Richards, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

01038482 Issued in IN

Practice address

215 W 4TH St
Mishawaka, IN 46544-1917

Phone

(574) 271-0013

NPI assigned

Nov 10, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Great Lakes Anesthesia, P.C.

  • Anesthesiology Physician
  • Elkhart, IN
  • NPI 1720039977
  NPD (past)
• River Bend Anesthesia, LLC

  • Anesthesiology Physician
  • Mishawaka, IN
  • NPI 1043291693
  NPD (past)
• Daniel L French PSC

  • Family Medicine Physician
  • Florence, KY
  • NPI 1255337952
  NPD (past)
• Great Lakes Anesthesia Indiana and Michigan, PLLC

  • Anesthesiology Physician
  • Sturgis, MI
  • NPI 1891069605
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1760463319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68952",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462680952",
            "telephone_number": "317-802-6321",
            "fax_number": "317-870-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W 4TH ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465441917",
            "telephone_number": "574-271-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "BRADLEY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01038482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah R Rhodes, MS, LAT, ATC
• Troy Rhodes, O.D.
• Stephen Ralph Ribaudo, M.D.
• Jacquelyn Marie Rice, HIS, LPN
• Jonathan Rich
• Emily Richardson, RBT
• Hannah Richendollar, RBT
• Karen Elise Richie, LCSW, DSW
• Courtney Lynn Rifenberg, PH.D.
• Sheri Rimelspach

• Anesthesiology Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Anesthesiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.