Individual provider Active NPI

John Bristow Mansfield, MD

  • Surgery Physician
  • Harrisonburg, VA
National Provider Identifier
1447299110
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101030926 Issued in VA
Practice address
831 Martin Luther King Jr Way
Harrisonburg, VA 22801-3277
Phone
(540) 434-8101
Fax
(540) 574-2151
NPI assigned
Jun 6, 2006
Last updated
Aug 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101030926 VA Primary
Surgery Physician 208600000X 21481 IA

Addresses

Primary practice location

831 Martin Luther King Jr Way
Harrisonburg, VA 22801-3277

Mailing address

831 Martin Luther King Jr Way
Harrisonburg, VA 22801-3277
Phone (540) 434-8101

Other identifiers 3

IdentifierTypeStateIssuer
005385OtherVAANTHEM, RICHMOND, VA
007383088MedicaidVA
7383088MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20081007000631 VA Practitioner - General SurgeryPractitioner - Vascular Surgery 6709954530 Practice locations: Harrisonburg, VA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21481IAMDSurgery Physician
0101030926VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harry S Crawford III MD PLC PastSince Nov 1, 2004 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9929/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1447299110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 MARTIN LUTHER KING JR WAY",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013277",
            "telephone_number": "540-434-8101",
            "fax_number": "540-574-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 MARTIN LUTHER KING JR WAY",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013277",
            "telephone_number": "540-434-8101",
            "fax_number": "540-574-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "JOHN",
        "middle_name": "BRISTOW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101030926",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "21481",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM, RICHMOND, VA",
            "identifier": "005385",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007383088",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7383088",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.