Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Reginald Barnette Richardson Jr., DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1104083427

Dr. Reginald Barnette Richardson Jr., DPM is a Podiatry in Charlotte, North Carolina. Qualified in 1989, 37 years ago. Practices with Gooden Mobile Pod Nc PLLC, a 16-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
37
Licensed in
NC
In the registry since
2008
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

3333 Wilkinson Blvd
Charlotte, NC 28208-5631
Phone: (704) 737-6126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 310 (NC)

Record details

NPI number1104083427
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedMay 22, 2008
Last updated in NPPESSeptember 9, 2008

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Gooden Mobile Pod Nc Pllc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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