DR. RICHARD ALBERT KEITH REYNOLDS MD NPI 1598701930

NPI Information

NPI: 1598701930
Provider Name: DR. RICHARD ALBERT KEITH REYNOLDS, MD
Classification: Orthopaedic Surgery - 207XP3100X
Entity Type: Individual

Specialization: Pediatric Orthopaedic Surgery

PECOS Registration: Yes

Address:
5153 N 9TH AVE
PENSACOLA, FL
ZIP 32504
Phone: (850) 505-4720
Get Directions

DR. Richard Albert Keith Reynolds, MD is a pediatric orthopaedic surgery orthopaedic surgery in Pensacola, FL. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. DR. Richard Albert Keith Reynolds, MD NPI is 1598701930. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5153 N 9TH AVE
PENSACOLA, FL
ZIP 32504-785
Phone: (850) 505-4720
Fax: (850) 505-4726

The NPI 1598701930 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 3/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207X00000X	Orthopaedic Surgery		4301088730	MICHIGAN	No
2	207X00000X	Orthopaedic Surgery		A50293	CALIFORNIA	No
3	207XS0117X	Orthopaedic Surgery	Orthopaedic Surgery of the Spine	A50293	CALIFORNIA	No
4	207XP3100X	Orthopaedic Surgery	Pediatric Orthopaedic Surgery	ME123787	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4919117	MEDICAID	MICHIGAN
2	'014781200	MEDICAID	FLORIDA
3	F18622	MEDICARE UPIN	MICHIGAN
4	P35120001	MEDICARE PIN	MICHIGAN
5	20-0-82-6207-1	OTHER	MICHIGAN	BCBSM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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