Active NPI
Richard Berry Caswell Jr., MD
- Diagnostic Radiology Physician
- Sanford, NC
National Provider Identifier
1336153345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 200301340
- Practice address
- 1135 Carthage St
Central Carolina Hospital
Sanford, NC 27330-4162 - Phone
- (919) 777-7092
- Fax
- (919) 774-2399
- NPI assigned
- Jul 27, 2006
- Last updated
- Oct 18, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 26482 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | 224969 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | MD071482L | PA | |
| Diagnostic Radiology Physician | 2085R0202X | 200301340 | NC | Primary |
Addresses
Primary practice location
1135 Carthage St
Central Carolina Hospital
Sanford, NC 27330-4162
Mailing address
PO Box 120590
Newport News, VA 23612-0590
Phone (757) 867-6101
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135P1 | Other | NC | BCBS |
| P00395923 | Other | NC | RAILROAD MEDICARE |
| 89135P1 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200301340 | NC | MD | Diagnostic Radiology Physician |
| 224969 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Chase Medical Center Radiology Associates | Past | Accepting new patients | |
| Jeanes Radiology Associates LLC | Diagnostic Radiology | Past | Accepting new patients |
| Mid Carolina Radiology Associates PA | Diagnostic Radiology | Past | Accepting new patients |
| Templeton Readings, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Seashore Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Rittenhouse Imaging Center, LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mid-Carolina Radiology
- Diagnostic Radiology Physician
- Sanford, NC
- NPI 1689777245
-
- Diagnostic Radiology Physician
- Morehead City, NC
- NPI 1851671762
-
- Specialist
- Rockledge, PA
- NPI 1245236330
-
dba Akumin
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1639110240
-
dba Akumin
- Diagnostic Radiology Physician
- Bryn Mawr, PA
- NPI 1962458034
-
- Diagnostic Radiology Physician
- Sparks, MD
- NPI 1770754715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1336153345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 120590",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236120590",
"telephone_number": "757-867-6101",
"fax_number": "757-867-6588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 CARTHAGE ST",
"address_2": "CENTRAL CAROLINA HOSPITAL",
"city": "SANFORD",
"state": "NC",
"postal_code": "273304162",
"telephone_number": "919-777-7092",
"fax_number": "919-774-2399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASWELL",
"first_name": "RICHARD",
"middle_name": "BERRY",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "26482",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "224969",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD071482L",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "200301340",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "135P1",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00395923",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89135P1",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.