Individual provider Active NPI

Richard Matthew Buurman, MD

  • Family Medicine Physician
  • Crossville, TN
National Provider Identifier
1467544148
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
48126 Issued in TN
Practice address
1645 S Main St
Suite 101
Crossville, TN 38555-2908
Phone
(931) 484-7531
Fax
(931) 456-9515
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28587 KY
Family Medicine Physician 207Q00000X 48126 TN Primary

Addresses

Primary practice location

1645 S Main St
Suite 101
Crossville, TN 38555-2908

Mailing address

1645 S Main St
Suite 101
Crossville, TN 38555-2908
Phone (931) 484-7531

Other identifiers 3

IdentifierTypeStateIssuer
080167905OtherKYPALMETTO GBA RR MEDICARE
64285877MedicaidKY
000000188288OtherKYANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20120104000725 TN Practitioner - Family Practice 5991849192 Practice locations: Crossville, TN

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48126TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians' Associates, LLC Current Accepting new patients
Crossville Family Medicine LLC Family Medicine Current Accepting new patients

Locations

1645 S Main St
Ste 101
Crossville, TN 38555
Phone (931) 484-7531

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1645 S Main St
Crossville, TN 38555-5998
Phone (931) 484-7531

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Livingston, TN, CCN 447260
  • Quality Home Health Home health agency, Jamestown, TN, CCN 447406
  • Adoration Home Health Nashville South Home health agency, Cookeville, TN, CCN 447425
  • Cumberland Medical Center Hospital, Crossville, TN, CCN 440009

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1467544148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 S MAIN ST",
            "address_2": "SUITE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385552908",
            "telephone_number": "931-484-7531",
            "fax_number": "931-456-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 S MAIN ST",
            "address_2": "SUITE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385552908",
            "telephone_number": "931-484-7531",
            "fax_number": "931-456-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUURMAN",
        "first_name": "RICHARD",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "28587",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "48126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RR MEDICARE",
            "identifier": "080167905",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64285877",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000188288",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

Verify at the official NPI Registry.