Active NPI
Robert M Coleman, MD
- Diagnostic Radiology Physician
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 47198
- Practice address
- 3053 W State St
Bristol, TN 37620-1720 - Phone
- (423) 968-1144
- Fax
- (423) 968-3453
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 13515 | MS | |
| Diagnostic Radiology Physician | 2085R0202X | 13515 | MS | |
| Diagnostic Radiology Physician | 2085R0202X | 47198 | TN | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 47198 | TN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 13515 | MS |
Addresses
Primary practice location
3053 W State St
Bristol, TN 37620-1720
Mailing address
3053 W State St
Bristol, TN 37620-1720
Phone (423) 968-1144
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30016543010001 | Medicaid | VA | |
| 1525730 | Medicaid | TN | |
| 00114726 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Mississippi School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Field Memorial Community Hospital
Practice addresses (Care Compare)
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-2200
105 Fairlea CT
Lynchburg, VA 24503-2164
Phone (423) 968-1144
178 Hwy 24 E
Centreville, MS 39631-4171
Phone (601) 890-0500
40 Union Church Rd
Meadvile, MS 39653-8336
Phone (601) 384-2273
50 Golf Club Rd
Hattiesburg, MS 39402-7953
Phone (601) 450-0521
Hospital & facility affiliations
- Johnson City Medical Center
- Wellmont Holston Valley Medical Center
- Wellmont Bristol Regional Medical Center
- Johnston Memorial Hospital
- Franklin Woods Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13515 | MS | MD | Diagnostic Radiology Physician |
| 47198 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Field Memorial Community Hospital | Current | Accepting new patients | |
| Blue Ridge Radiology, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Field Memorial Community Hospital | Current | Accepting new patients | |
| Comprehensive Radiology Services, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Keystone Medical Services of Ms, Inc | Emergency Medicine | Current | Accepting new patients |
| Franklin County Memorial Hospital | Current | Accepting new patients | |
| Field Memorial Community Hospital | Current | Accepting new patients | |
| Franklin County Memorial Hospital | Current | Accepting new patients | |
| Field Memorial Community Hospital | Current | Accepting new patients | |
| Franklin County Memorial Hospital | Current | Accepting new patients | |
| United Emergency Services, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817
136 Main St N
Bude, MS 39630
Phone (601) 384-2394
178 Highway 24 E
Centreville, MS 39631
Phone (601) 890-0500
1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
5000 W 4th St
Hattiesburg, MS 39402
Phone (601) 264-2121
5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000
40 Union Church Rd
Meadville, MS 39653
Phone (601) 384-2273
130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400
347 Magnolia Dr
Raleigh, MS 39153
Phone (601) 374-9070
3053 W State St
Bristol, TN 37620
Phone (423) 301-6567
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
4289 Bonny Oaks Dr
Ste 106
Chattanooga, TN 37406
851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Hattiesburg, MS
- NPI 1992731590
-
- Critical Access Hospital
- Meadville, MS
- NPI 1669705612
-
- Critical Access Hospital
- Centreville, MS
- NPI 1770574048
-
- Rural Health Clinic/Center
- Woodville, MS
- NPI 1881648376
-
- Emergency Medicine Physician
- Hazlehurst, MS
- NPI 1174691059
-
- Diagnostic Radiology Physician
- Maryville, TN
- NPI 1447210109
-
- Medicare Defined Swing Bed Hospital Unit
- Centreville, MS
- NPI 1447217526
-
- Critical Access Hospital
- Centreville, MS
- NPI 1871633347
-
- Rural Health Clinic/Center
- Bude, MS
- NPI 1457657363
-
- General Acute Care Hospital
- Meadville, MS
- NPI 1639121445
-
- Emergency Medicine Physician
- Booneville, MS
- NPI 1326007915
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1114033628
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1225079759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3053 W STATE ST",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376201720",
"telephone_number": "423-968-1144",
"fax_number": "423-968-3453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3053 W STATE ST",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376201720",
"telephone_number": "423-968-1144",
"fax_number": "423-968-3453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "13515",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MS",
"license": "13515",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "47198",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TN",
"license": "47198",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MS",
"license": "13515",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30016543010001",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1525730",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00114726",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.