Individual provider Active NPI

Robert M Coleman, MD

  • Diagnostic Radiology Physician
  • Bristol, TN
National Provider Identifier
1225079759
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
47198 Issued in TN
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

Updated by the provider on May 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30016543010001MedicaidVA
1525730MedicaidTN
00114726MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050425000568 MS Practitioner - Diagnostic RadiologyPractitioner - Emergency Medicine 8224076773 Reassigns benefits to 7 organizations
I20110815000587 TN Practitioner - Diagnostic Radiology 8224076773 Reassigns benefits to 2 organizations
I20211022000825 VA Practitioner - Diagnostic Radiology 8224076773 Reassigns benefits to 1 organization

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
Blue Ridge Radiology PCGroup PAC ID 7416860473, 77 clinicians
Field Memorial Community HospitalGroup PAC ID 0547248544, shared by 7 NPIs, 41 clinicians
Franklin County Memorial HospitalGroup PAC ID 2466355243, 37 clinicians
Comprehensive Radiology Services PLLCGroup PAC ID 1759364946, 50 clinicians

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 Hospital, Johnson City, TN, CCN 440063
  • Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017
  • Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012
  • Johnston Memorial Hospital Hospital, Abingdon, VA, CCN 490053
  • Franklin Woods Community Hospital Hospital, Johnson City, TN, CCN 440184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13515MSMDDiagnostic Radiology Physician
47198TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Field Memorial Community Hospital CurrentSince Jul 1, 2024 Accepting new patients
Blue Ridge Radiology, P.C. Diagnostic Radiology CurrentSince Aug 1, 2011 Accepting new patients
Field Memorial Community Hospital Current Accepting new patients
Comprehensive Radiology Services, PLLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Keystone Medical Services of Ms, Inc Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Franklin County Memorial Hospital CurrentSince Jul 1, 2024 Accepting new patients
Field Memorial Community Hospital CurrentSince Jul 1, 2024 Accepting new patients
Franklin County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Field Memorial Community Hospital CurrentSince Jun 1, 2025 Accepting new patients
Franklin County Memorial Hospital CurrentSince Jul 1, 2024 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.