NPIMap

Individual provider Active NPI

Bernard Ernest Roscoe

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1316301617
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO3001 Issued in NV
Practice address
75 Pringle Way Ste 601
Reno, NV 89502-1472
Phone
(775) 982-5000
Fax
(775) 982-3900
NPI assigned
Apr 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO3001 NV Primary

Addresses

Primary practice location

75 Pringle Way Ste 601
Reno, NV 89502-1472

Mailing address

1155 Mill St # McM14
Reno, NV 89502-1576
Phone (775) 982-5262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210701003133 WY Practitioner - Family Practice 3678803467 Reassigns benefits to 1 organization
I20210826002156 NV Practitioner - Family Practice 3678803467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Custom Physical Therapy Limited PartnershipGroup PAC ID 1355252842, shared by 2 NPIs, 76 clinicians
Hometown Health Management CompanyGroup PAC ID 0244139798, 184 clinicians

Practice addresses (Care Compare)

440 E Golden Valley Rd
Reno, NV 89506-5722
Phone (775) 360-3000

75 Pringle Way
Suite 601
Reno, NV 89502-1472
Phone (775) 982-5000

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Reno, NV, CCN 297022
  • Eden Home Health Home health agency, Reno, NV, CCN 297035
  • Renown Health Home Care Home health agency, Reno, NV, CCN 297015
  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049

Merit-based Incentive Payment System (MIPS)

Final score
86.15 of 100Reported as group
Quality
78.17
Promoting interoperability
100
Improvement activities
40
Cost
75.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Health Management Company Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Hometown Health Management Company Family Medicine Current Accepting new patients
University of Wyoming Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
University of Wyoming Speech and Hearing Clinic CurrentSince Jul 1, 2021 Accepting new patients
University of Wyoming Family Medicine Past Accepting new patients

Locations

75 Pringle Way
Ste 601
Reno, NV 89502
Phone (775) 326-8380

1155 Mill St
#14
Reno, NV 89502

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

975 Ryland St
Ste 100
Reno, NV 89502
Phone (775) 982-5210

820 E 17th St
Cheyenne, WY 82001
Phone (307) 431-5055

Interoperability endpoints

  • Direct secure messaging: broscoe173543@direct.renown.org

Organizations & group practices 5

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 6

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": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1316301617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # MCM14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY STE 601",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021472",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSCOE",
        "first_name": "BERNARD",
        "middle_name": "ERNEST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO3001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.