Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2005-01322 | NC |
N | 111NI0900X | Internist | 2005-01322 | NC |
Y | 207RH0002X | Hospice and Palliative Medicine | 200501322 | NC |
NPI | 1104809805 |
---|---|
Provider Name | Richard Morgan Bain |
First Address | Greenwich, CT 06830-4697 |
Second Address | Greenwich, CT 06830-4697 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2005 |
Last Update Date | 25/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10189136 | (05) | VA |
140A0 | BCBS (01) | |
183901 | MEDCOST (01) | |
236051 | (05) | SC |
3810002728 | (05) | WV |
5901486 | (05) | NC |
7948443 | AETNA (01) | |
806582 | PARTNERS (01) | |
H74297 | (02) |