Robert William Richey, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

01023980A Issued in IN

Practice address

654 S Walker St
Bloomington, IN 47403-2159

Phone

(812) 339-6456

Fax

(812) 339-6219

NPI assigned

Sep 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922093137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7075",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474077075",
            "telephone_number": "812-339-6456",
            "fax_number": "812-339-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 S WALKER ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032159",
            "telephone_number": "812-339-6456",
            "fax_number": "812-339-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHEY",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IN",
            "license": "01023980A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000084952",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100183380A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryson Richardson, DDS
• Kaylee Richardson
• Lexi M Richardson
• Erica Richart, BA
• Dakota Richerson, PA-C
• James Gilbert Richter, LMHC, CCMHC, NCC
• James David Ridge, MD
• Crystal Gail Ridlon, LMHC
• Kristen Ridner
• Jan M Riley, RN

• Gynecology Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.