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BROCK RICHARDSON MD
NPI 1770161549
Internal Medicine in Birmingham, AL

Active since March 31, 2021PECOS EnrolledAccepts Medicare Assignment
817 PRINCETON AVE SW STE 210, BIRMINGHAM, AL 35211(205) 783-3505(205) 783-3508 Get Directions Write a Review

NPPES record last updated: November 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 28, 2025, Jan 16, 2023, Mar 31, 2021 (3 updates tracked since 2021).

About Brock Richardson Md NPPES

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

BROCK RICHARDSON MD (NPI 1770161549) is an individual internal medicine provider in Birmingham, Alabama, licensed in Alabama (MD.46610) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jackson, and is a graduate of University Of Mississippi School Of Medicine (2021).

NPPES Registry Identity

NPI1770161549
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBROCK RICHARDSONCredential: MD
Location Address817 PRINCETON AVE SW STE 210Birmingham, AL 35211-1348
Mailing AddressPo Box 11407, Department 8007Birmingham, AL 35246-8007 · (205) 783-3505 · Fax (205) 783-3508
Phone(205) 783-3505
Fax(205) 783-3508
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2021
Enumeration DateMarch 31, 2021
Last NPPES UpdateNovember 28, 20253 updates tracked since enumeration
NPPES CertifiedNovember 28, 2025
✔ NPI 1770161549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · MD.46610
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
817 PRINCETON AVE SW STE 210, Birmingham, AL 35211
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Secondary Practice Location 1

Location 12500 N State StJackson, MS 39216-4500 · Phone (601) 815-1292

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brock Richardson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981002615
PECOS Enrollment IDI20250130001296
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 35211 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
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 5

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

DR. TYLER KILBURN DO/MBA
Internal Medicine
817 PRINCETON AVE SW STE 210
BIRMINGHAM, AL 35211
Jefferson County (205) 783-3505
DR. JOHN DERZIS DO
Internal Medicine
817 PRINCETON AVE SW STE 210
BIRMINGHAM, AL 35211
Jefferson County (205) 592-1406
NICOLE DOETCH STROUD MD
Student in an Organized Health Care Education/Training Program
817 PRINCETON AVE SW STE 210
BIRMINGHAM, AL 35211
Jefferson County (205) 783-3505
DR. PEGAH KANNAR MD
Internal Medicine
817 PRINCETON AVE SW STE 210
BIRMINGHAM, AL 35211
Jefferson County (205) 783-3505
DR. LUTHER ETHERIDGE DO
Internal Medicine
817 PRINCETON AVE SW STE 210
BIRMINGHAM, AL 35211
Jefferson County (205) 783-3505

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 Brock Richardson's NPI number?

The NPI number for Brock Richardson is 1770161549. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Brock Richardson located?

Brock Richardson practices at 817 Princeton Ave SW Ste 210, Birmingham, AL 35211. The listed phone number is (205) 783-3505.

What is Brock Richardson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brock Richardson enrolled in Medicare?

Yes. Brock Richardson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brock Richardson accept?

Health plans from Oscar Insurance Company list Brock Richardson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brock Richardson was last updated on November 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.