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

Willie Forrest Richardson Jr., MD

Individual provider Dermatology Physician · NPI 1043328230

Willie Forrest Richardson Jr., MD is a Dermatology in Fort Lauderdale, Florida. Graduated from Brody School of Medicine at East Carolina University in 2000, 26 years ago. Practices with Will Richardson MD PA, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
26
Trained at
Brody School of Medicine at East Carolina University
Licensed in
FL
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

1120 Bayview Dr
Fort Lauderdale, FL 33304-2505
Phone: (954) 537-4106
Fax: (954) 537-4186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME94167 (FL)

Record details

NPI number1043328230
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 28, 2006
Last updated in NPPESNovember 3, 2011

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 2000 (26 years in practice)
Group practice Will Richardson Md Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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