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WILLIAM RICHARDSON
NPI 1114685302
Physician Assistant in Fort Bragg, NC

Active since December 04, 2021PECOS Enrolled
2817 ROCK MERRITT AVE STOP A, FORT BRAGG, NC 28310(910) 432-2997 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2025, Oct 10, 2025, Aug 9, 2023 and 2 more (5 updates tracked since 2021).

About William Richardson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM RICHARDSON (NPI 1114685302) is an individual physician assistant in Fort Bragg, North Carolina and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Stewart.

NPPES Registry Identity

NPI1114685302
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameWILLIAM RICHARDSON
Location Address2817 ROCK MERRITT AVE STOP AFort Bragg, NC 28310-0001
Mailing Address2817 Rock Merritt Ave Stop AFort Bragg, NC 28310-0001
Phone(910) 432-2997
Sole ProprietorNo
Enumeration DateDecember 4, 2021
Last NPPES UpdateDecember 15, 20255 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1114685302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
2817 ROCK MERRITT AVE STOP A, Fort Bragg, NC 28310
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Secondary Practice Location 1

Location 11061 Harmon AveFort Stewart, GA 31314-5641 · Phone (719) 377-7678

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Richardson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28310 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOLLY CUNARD
Ophthalmology
2817 ROCK MERRITT AVE STOP A, ATTN: CREDENTIALS OFFICE
FORT BRAGG, NC 28310
Cumberland County (910) 907-7830
CAROLINE MICHAELA PYZDROWSKI PT
Physical Therapist
2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310
Cumberland County (630) 947-9375
JUSTINE J MAJERES
Psychologist
2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
MR. MICHAEL B. WOODY PT
Physical Therapist
2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310
Cumberland County (910) 907-6069
DR. DEANNA INEZ KEDICH PHARMD
Pharmacist
2817 ROCK MERRITT AVE STOP A
FORT LIBERTY, NC 28310
Cumberland County (910) 907-8922
DESTINY R REYNOLDS FNPC
Nurse Practitioner (Family)
2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310
Cumberland County (910) 908-6257
JOSHUA MIN HO RODIN PA-C
Physician Assistant
2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310
Cumberland County (910) 987-5756
DAVID BRADLEY WILLIS PA-C, MPAS
Physician Assistant
2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310
Cumberland County (910) 643-1923

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Richardson's NPI number?

The NPI number for William Richardson is 1114685302. It was assigned to this individual provider in the NPPES registry on December 4, 2021.

Where is William Richardson located?

William Richardson practices at 2817 Rock Merritt Ave Stop A, Fort Bragg, NC 28310. The listed phone number is (910) 432-2997.

What is William Richardson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is William Richardson enrolled in Medicare?

Yes. William Richardson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Richardson was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.