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

Hipolito Mance Custodio III, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1225244379

Hipolito Mance Custodio III, MD is an Obstetrics/Gynecology in Richland, Washington. Qualified in 2001, 25 years ago. Practices with Bhs Physicians Network, Inc, a 715-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and Washington.

Years since qualifying
25
Licensed in
PA, WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

945 Goethals Dr Ste 200
Richland, WA 99352-3552
Phone: (509) 942-2555
Fax: (509) 942-2340
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD60074660 (WA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence MT186614 (PA)

Record details

NPI number1225244379
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2007
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Bhs Physicians Network, Inc — 715 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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