Active NPI
Richard Allan Redd, M.D.
- Diagnostic Radiology Physician
- Wichita Falls, TX
National Provider Identifier
1871609941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- F2870
- Practice address
- 2319 Brook Hollow Dr
Wichita Falls, TX 76308-2206 - Phone
- (940) 691-9382
- Fax
- (940) 691-9383
- NPI assigned
- Aug 22, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | F2870 | TX | Primary |
Addresses
Primary practice location
2319 Brook Hollow Dr
Wichita Falls, TX 76308-2206
Mailing address
2319 Brook Hollow Dr
Wichita Falls, TX 76308-2206
Phone (940) 691-9382
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00282477 | Other | TX | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F2870 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of Wichita Falls PA | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Wichita Falls, TX
- NPI 1215121793
-
- Diagnostic Radiology Physician
- Wichita Falls, TX
- NPI 1346333598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871609941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2319 BROOK HOLLOW DR",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763082206",
"telephone_number": "940-691-9382",
"fax_number": "940-691-9383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2319 BROOK HOLLOW DR",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763082206",
"telephone_number": "940-691-9382",
"fax_number": "940-691-9383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDD",
"first_name": "RICHARD",
"middle_name": "ALLAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "F2870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00282477",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
- Raymond L. Owen, M.D. P.a.
- Red River Anesthesiology Group L.L.P.
- Red River Anesthesiology Group L.L.P.
- Red River Hospital, LLC (Red River Hospital)
- Red River Hospital, LLC (Red River Hospital)
- Jayasankar K Reddy, MD
- Praveen Jada Kumar Reddy, MD
- Abigail Renee Reed, LVN
- Shynesta Reed, MSN, RN, FNP-BC
- Taylor Reed
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.