Active NPI
Russell J Berscheid, M.D.
- Family Medicine Physician
- Columbia, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28088
- Practice address
- 1218 Trotwood Ave
Columbia, TN 38401-6406 - Phone
- (931) 540-4140
- Fax
- (931) 540-4143
- NPI assigned
- Jan 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28088 | TN | Primary |
Addresses
Primary practice location
1218 Trotwood Ave
Columbia, TN 38401-6406
Mailing address
PO Box 229
Wakefield, RI 02880-0229
Phone (401) 788-8757
Other practice location 1
268 Post Rd
Westerly, RI 02891-6600
Phone (401) 604-2530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Spring Health Care Management, Inc. | Current | Accepting new patients | |
| Silver Spring Health Care Management, Inc. | Family Medicine | Current | Accepting new patients |
| Maury Regional Hospital | Past | Accepting new patients | |
| Maury Regional Ambulatory Care Center Inc. | Family Medicine | Past | Accepting new patients |
Locations
3461 S County Trl
Ste 301
East Greenwich, RI 02818
Phone (401) 471-6285
100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000
268 Post Rd
Ste 203
Westerly, RI 02891
Phone (401) 604-2530
268 Post Rd
Westerly, RI 02891
Phone (401) 562-1017
Interoperability endpoints
- rberscheid@scmg.gwaydirect.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Narragansett, RI
- NPI 1306365812
-
- Pediatrics Physician
- Wakefield, RI
- NPI 1992224497
-
- Family Medicine Physician
- Columbia, TN
- NPI 1336190214
-
- Clinic/Center
- Hohenwald, TN
- NPI 1023038122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1386795326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 229",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028800229",
"telephone_number": "401-788-8757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 TROTWOOD AVE",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384016406",
"telephone_number": "931-540-4140",
"fax_number": "931-540-4143"
}
],
"practiceLocations": [
{
"address_1": "268 Post Rd",
"address_purpose": "LOCATION",
"city": "Westerly",
"state": "RI",
"postal_code": "028916600",
"country_code": "US",
"telephone_number": "401-604-2530",
"fax_number": "401-604-2560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERSCHEID",
"first_name": "RUSSELL",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "28088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.