BROCK RICHARDSON MD
NPI 1770161549
Student in an Organized Health Care Education/Training Program in Jackson, MS

NPI Status: Active since March 31, 2021

Contact Information

2500 N STATE ST
JACKSON, MS
ZIP 39216
Phone: (601) 815-1292

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  • Individual
  • Male
  • Years of Experience 5
  • Student in an Organized Health Care Educ...
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About BROCK RICHARDSON

This page provides the complete NPI Profile along with additional information for Brock Richardson, a primary care provider established in Jackson, Mississippi with a medical specialization in Student In An Organized Health Care Education/training Program and more than 5 years of experience. He graduated from University Of Mississippi School Of Medicine in 2021. The healthcare provider is registered in the NPI registry with number 1770161549 assigned on March 2021. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1770161549
Provider Name
BROCK RICHARDSON MD
Gender
Male
Entity Type
Individual
Location Address
2500 N STATE ST JACKSON, MS 39216
Location Phone
(601) 815-1292
Mailing Address
833 PRINCETON AVE. SW POB 3, SUITE 200E BRIMINGHAM, AL 35211
Mailing Phone
(205) 599-4823
Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year
2021
Is Sole Proprietor?
No
Enumeration Date
03-31-2021
Last Update Date
01-16-2023
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A primary care provider (PCP) like Brock Richardson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Brock Richardson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Brock Richardson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4981002615

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250130001296

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for BROCK RICHARDSON MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770161549
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2714026258
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 2 + 6 + 2 + 5 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1770161549 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477556231UNIVERSITY OPHTHALMOLOGY ASSOCIATES
Organization
Ophthalmology2500 N STATE ST STE B329
JACKSON, MS 39216
(601) 815-3931
1770580961DR. BRIAN L CRABTREE PHARM.D.
Individual
Pharmacist (Psychiatric)2500 N STATE ST
JACKSON, MS 39216
(601) 351-8013
1699761064STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Organization
Rehabilitation Unit2500 N STATE ST
JACKSON, MS 39216
(866) 842-7574
1760453823DR. JEFFERY D CARRON MD
Individual
Otolaryngology2500 N STATE ST DEPARTMENT OF OTOLARYNGOLOGY
JACKSON, MS 39216
(601) 984-5160
1164499109DR. BARRY SAUL RUBEL D.M.D.
Individual
Dentist2500 N STATE ST
JACKSON, MS 39216
(601) 984-6030
1689641649 IRINA V BORISSOVA MD, PHD
Individual
Anesthesiology (Pediatric Anesthesiology)2500 N STATE ST DEPT. OF ANESTHESIOLOGY
JACKSON, MS 39216
(601) 984-5900
1215906573DR. TRACY MICHELLE DELLINGER D.D.S.
Individual
Dentist2500 N STATE ST UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY
JACKSON, MS 39216
(601) 984-6028
1003862707 RAPHAEL CORCORAN SNEED M.D.
Individual
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)2500 N STATE ST
JACKSON, MS 39216
(601) 984-2940
1043267990DR. KEVIN DEL BEN PHD
Individual
Psychologist (Clinical)2500 N STATE ST
JACKSON, MS 39216
(601) 984-5888
1346297090MS. VICKY DIANNE MINNINGER CFNP
Individual
Nurse Practitioner2500 N STATE ST
JACKSON, MS 39216
(601) 984-6525
1578510962 DOMENIC P ESPOSITO M.D.
Individual
Neurological Surgery2500 N STATE ST N703 NEUROSURGERY DEPARTMENT
JACKSON, MS 39216
(601) 984-5706
1386681633DR. GRAYSON S NORQUIST M.D.
Individual
Psychiatry & Neurology (Psychiatry)2500 N STATE ST
JACKSON, MS 39216
(601) 984-5888
1770521718MS. JUDITH ROSEMARY O'JILE PHD
Individual
Clinical Neuropsychologist2500 N STATE ST
JACKSON, MS 39216
(601) 984-5888
1790723294MRS. JULIE A SCHUMACHER-COFFEY PHD
Individual
Psychologist (Clinical)2500 N STATE ST
JACKSON, MS 39216
(601) 984-5888
1073551586DR. HANS-GEORG OTTO BOCK M.D.
Individual
Medical Genetics (Clinical Genetics (M.D.))2500 N STATE ST DEPARTMENT OF PREVENTIVE MEDICINE
JACKSON, MS 39216
(601) 984-1900
1518905124UNIVERSITY PATHOLOGY ASSOCIATES, PLLC
Organization
Clinical Medical Laboratory2500 N STATE ST
JACKSON, MS 39216
(601) 984-1530
1811938699DR. ELIZABETH ANNE CHRIST M.D.
Individual
Pediatrics (Pediatric Critical Care Medicine)2500 N STATE ST
JACKSON, MS 39216
(601) 815-8173
1285676908DR. WILLIAM RICHARD BOYTE M.D.
Individual
Pediatrics (Pediatric Critical Care Medicine)2500 N STATE ST
JACKSON, MS 39216
(601) 815-8173
1164464681 HANNAH BERRY GAY M.D.
Individual
Pediatrics (Pediatric Infectious Diseases)2500 N STATE ST
JACKSON, MS 39216
(601) 984-5206
1922040310DR. JOHN JOEL DONALDSON M.D. FAAP
Individual
Pediatrics2500 N STATE ST
JACKSON, MS 39216
(601) 984-5200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770161549, enumerated in the NPI registry as an "individual" on March 31, 2021

The provider is located at 2500 N State St Jackson, Ms 39216 and the phone number is (601) 815-1292

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

The provider has more than 5 years of experience. He graduated from University Of Mississippi School Of Medicine in 2021.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on March 31, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.