Provider Demographics
NPI:1477585859
Name:MURPHY, RICHARD LOUIS SR (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:LOUIS
Last Name:MURPHY
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 CHERE CAROL RD
Mailing Address - Street 2:
Mailing Address - City:HUMBOLDT
Mailing Address - State:TN
Mailing Address - Zip Code:38343
Mailing Address - Country:US
Mailing Address - Phone:731-784-5542
Mailing Address - Fax:731-784-7962
Practice Address - Street 1:3535 CHERE CAROL RD
Practice Address - Street 2:
Practice Address - City:HUMBOLDT
Practice Address - State:TN
Practice Address - Zip Code:38343
Practice Address - Country:US
Practice Address - Phone:731-784-5542
Practice Address - Fax:731-784-7962
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000013879207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN36589OtherBCBS
TN3191202Medicaid
TN3191202Medicaid
D32189Medicare UPIN