Basic Information
| Provider Information | |||||||||
| NPI: | 1932134822 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TOMPKINS | ||||||||
| FirstName: | RICHARD | ||||||||
| MiddleName: | BRENT | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1274 LOMBARD TRL | ||||||||
| Address2: | |||||||||
| City: | REDDING | ||||||||
| State: | CA | ||||||||
| PostalCode: | 960011379 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5302445400 | ||||||||
| FaxNumber: | 5302445436 | ||||||||
| Practice Location | |||||||||
| Address1: | 1274 LOMBARD TRAIL | ||||||||
| Address2: | |||||||||
| City: | REDDING | ||||||||
| State: | CA | ||||||||
| PostalCode: | 96001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5302445400 | ||||||||
| FaxNumber: | 5302445436 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2006 | ||||||||
| LastUpdateDate: | 01/22/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | G76216 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | G76216 | CA | N | Allopathic & Osteopathic Physicians | Hospitalist | 207Q00000X | G76216 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.