Individual provider Active NPI

Scott James Murcin, MD

  • Pediatrics Physician
  • Fort Bragg, NC
National Provider Identifier
1861590879
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
23274 Issued in NE
Practice address
2817 Reilly St
Womack Army Medical Center
Fort Bragg, NC 28310-7324
Phone
(910) 907-8922
Fax
(910) 907-6069
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 23274 NE Primary

Addresses

Primary practice location

2817 Reilly St
Womack Army Medical Center
Fort Bragg, NC 28310-7324

Mailing address

2817 Reilly St
Womack Army Medical Center
Fort Bragg, NC 28310-7324
Phone (910) 907-8922

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SCOTT.MURCIN@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20210922003421 NH Practitioner - Pediatric Medicine 9436379930 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23274NEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Appledore Medical Group, Inc CurrentSince Sep 1, 2021 Accepting new patients
Appledore Medical Group, Inc. Past Accepting new patients

Locations

330 Borthwick Ave
Ste 107
Portsmouth, NH 03801
Phone (603) 433-8434

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

25 New Hampshire Ave
Ste 100
Portsmouth, NH 03801
Phone (603) 431-2516

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

245 Rochester Hill Rd
Ste 2
Rochester, NH 03867
Phone (603) 332-0238

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1861590879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 REILLY ST",
            "address_2": "WOMACK ARMY MEDICAL CENTER",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283107324",
            "telephone_number": "910-907-8922",
            "fax_number": "910-907-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 REILLY ST",
            "address_2": "WOMACK ARMY MEDICAL CENTER",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283107324",
            "telephone_number": "910-907-8922",
            "fax_number": "910-907-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURCIN",
        "first_name": "SCOTT",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "23274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SCOTT.MURCIN@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2817 Reilly St",
            "address_2": "WOMACK ARMY MEDICAL CENTER",
            "city": "Fort Bragg",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283107324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Bragg, NC

Sources for this page

Verify at the official NPI Registry.