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

Richard Leslie Sample, MD

Individual provider Family Medicine Physician · NPI 1497713200

Richard Leslie Sample, MD is an Emergency Medicine in Montgomery, Alabama. Graduated from College of Osteo Med of the Pacific at Pomona in 1996, 30 years ago. Practices with Jackson Hospital and Clinic, Inc, a 118-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
30
Trained at
College of Osteo Med of the Pacific at Pomona
Licensed in
AL
In the registry since
2006
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

4371 Narrow Lane Rd
Montgomery, AL 36116-2971
Phone: (334) 613-3680
Fax: (334) 613-3685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO898 (AL)

Record details

NPI number1497713200
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2006
Last updated in NPPESMarch 27, 2008
Mailing address4371 Narrow Lane Rd, Montgomery, AL 36116-2975

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolCOLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated 1996 (30 years in practice)
Group practice Jackson Hospital And Clinic, Inc — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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