Tyrun Keith Richardson, M.D.
Tyrun Keith Richardson is a Urology Physician provider (Urology) practicing in Springfield, MO, registered in the NPPES registry with NPI 1205834074 since 2005. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205834074 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Tyrun Keith Richardson |
| Credential | M.D. |
| Sex | Male |
| Practice address | 1965 S FREMONT AVE, STE 370, Springfield, MO, 65804 |
| Phone | 4178200300 |
| Enumeration date | 2005-07-14 |
| Last updated in NPPES | 2016-06-16 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208800000X | Urology Physician | Secondary | 04-33531 | KS |
| 208800000X | Urology Physician | Secondary | 31026 | OK |
| 208800000X | Urology Physician | Primary | 2016012292 | MO |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MO | — |
| PENDING | Medicaid | AR | — |
| 200456750H | Medicaid | OK | — |
| 200566690A | Medicaid | OK | — |
| 200615150A | Medicaid | KS | — |
Copy-ready billing details
Provider: Tyrun Richardson, M.D. NPI: 1205834074 Taxonomy: 208800000X (Urology Physician) Address: 1965 S FREMONT AVE, STE 370, Springfield, MO, 65804
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1447249594 | Robin Troxell | Individual | Genetic Counselor (M.S.) | Springfield, MO |
| 1386616142 | Wendy Murray | Individual | Family Nurse Practitioner | Springfield, MO |
| 1043273188 | Robert Cavagnol | Individual | Surgery Physician | Springfield, MO |
| 1053364281 | Matthew Lundien | Individual | Pediatric Pulmonology Physician | Springfield, MO |
| 1255387577 | Donald Balun | Individual | Psychiatry Physician | Springfield, MO |
| 1346289279 | Marilyn Trumble | Individual | Obstetrics & Gynecology Nurse Practitioner | Springfield, MO |
| 1982644514 | Mercy Hospital Springfield | Organization | Pharmacist | Springfield, MO |
| 1699719963 | Sami Khoshyomn | Individual | Neurological Surgery Physician | Springfield, MO |
Verify this record
Cross-check NPI 1205834074 against the authoritative CMS record: view Tyrun Keith Richardson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What specialty is Tyrun Richardson?
Is this the official NPI registry?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-06-16.