Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cameron Richardson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720442015

Cameron Richardson, DO is a Diagnostic Radiology in Grand Rapids, Michigan. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2016, 10 years ago. Practices with Kent Radiology PC, an 18-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone: (616) 279-3105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 5101026715 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720442015
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 12, 2016
Last updated in NPPESJanuary 6, 2023
Certification dateJune 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2016 (10 years in practice)
Group practice Kent Radiology Pc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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