Active NPI
William John Schermer, M.D.
- Dermatology Physician
- Bristol, TN
National Provider Identifier
1467430231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD0000013982
- Practice address
- 3183 W State St
Suite 1102
Bristol, TN 37620-1712 - Phone
- (423) 764-7131
- Fax
- (423) 764-7911
- NPI assigned
- Jan 3, 2006
- Last updated
- Apr 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD0000013982 | TN | Primary |
| Dermatology Physician | 207N00000X | 0101029043 | VA |
Addresses
Primary practice location
3183 W State St
Suite 1102
Bristol, TN 37620-1712
Mailing address
3183 W State St
Suite 1102
Bristol, TN 37620-1712
Phone (423) 764-7131
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000266091 | Other | TN | ANTHEM |
| 0004546277 | Other | TN | AETNA |
| 004021789 | Other | TN | BCBS/TN |
| 621868014-01 | Other | TN | JOHN DEERE |
| 62186801437620A001 | Other | TN | TRICARE |
| 005902428 | Medicaid | VA | |
| 3373985 | Medicaid | TN | |
| 621868014-0001 | Other | TN | CIGNA |
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 |
|---|---|---|---|
| MD0000013982 | TN | MD | Dermatology Physician |
| 0101029043 | VA | MD | Dermatology Physician |
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.
-
- Dermatology Physician
- Bristol, TN
- NPI 1962533661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209340800000",
"number": "1467430231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3183 W STATE ST",
"address_2": "SUITE 1102",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376201712",
"telephone_number": "423-764-7131",
"fax_number": "423-764-7911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3183 W STATE ST",
"address_2": "SUITE 1102",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376201712",
"telephone_number": "423-764-7131",
"fax_number": "423-764-7911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHERMER",
"first_name": "WILLIAM",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2008-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TN",
"license": "MD0000013982",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0101029043",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0000000266091",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004546277",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS/TN",
"identifier": "004021789",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "621868014-01",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "62186801437620A001",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005902428",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3373985",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "621868014-0001",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.