Individual provider Active NPI

Russell J Berscheid, M.D.

  • Family Medicine Physician
  • Columbia, TN
National Provider Identifier
1386795326
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28088 Issued in TN
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

Updated by the provider on Jul 25, 2019

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181126000667 RI Practitioner - Family Practice 0749203594 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Spring Health Care Management, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Silver Spring Health Care Management, Inc. Family Medicine CurrentSince Dec 1, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.