DR. CHARLES DAVID RICHARDSON D.O. NPI 1942640388

NPI Information

  • NPI: 1942640388
  • Provider Name: DR. CHARLES DAVID RICHARDSON, D.O.
  • Classification: Psychiatry & Neurology - 2084P0005X
  • Specialization: Neurodevelopmental Disabilities
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2117 BROADWAY DRIVE
    HATTIESBURG, MS
    ZIP 39402
  • Phone: (601) 288-8050

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NPI Details

DR. Charles David Richardson, D.O. is a neurodevelopmental disabilities psychiatry neurology in Hattiesburg, MS with 13 years of experience. The provider is a neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. DR. Charles David Richardson, D.O. NPI is 1942640388. 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:

2117 BROADWAY DRIVE
HATTIESBURG, MS
ZIP 39402-210
Phone: (601) 288-8050
Fax: (601) 288-8058

The NPI 1942640388 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 6/30/2013 and was last updated on 2/24/2025.

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
12084P0800XPsychiatry & NeurologyPsychiatry24662MISSISSIPPINo
22084P0005XPsychiatry & NeurologyNeurodevelopmental Disabilities24662MISSISSIPPIYes

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
124662OTHERMISSISSIPPIMEDICAL LICENSE

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: 11/21/2025

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