Individual provider Active NPI

Benjamin R Bashline, DO

  • Dermatology Physician
  • Thompsons Station, TN
National Provider Identifier
1982947966
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
3878 Issued in TN
Practice address
990 Elliston Way Ste 101
Thompsons Station, TN 37179-5482
Phone
(615) 904-2010
NPI assigned
Mar 28, 2013
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 3878 TN Primary

Addresses

Primary practice location

990 Elliston Way Ste 101
Thompsons Station, TN 37179-5482

Mailing address

990 Elliston Way Ste 101
Thompsons Station, TN 37179-5482

Other practice location 1

741 President Pl Ste 140
Smyrna, TN 37167-6808
Phone (615) 905-8083

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
I20201009000252 TN Practitioner - Dermatology 9032335567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

990 Elliston Way
Suite 101
Thompsons Station, TN 37179-5482
Phone (615) 905-8083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision40
Removal of skin lesions748
Skin biopsy225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3878TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Harpeth Valley Dermatology PLLC Dermatology CurrentSince Jul 7, 2020 Accepting new patients
Harpeth Valley Dermatology PLLC Dermatology CurrentSince May 31, 2020 Accepting new patients
Schweiger Dermatology, PC Dermatology PastSince Feb 1, 2022 Accepting new patients

Locations

1009 N Locust Ave
Ste B
Lawrenceburg, TN 38464
Phone (931) 231-8180

521 Stonecrest Pkwy
Ste 201
Smyrna, TN 37167
Phone (615) 905-6797

741 President Pl
Ste 140
Smyrna, TN 37167
Phone (615) 220-0602

990 Elliston Way
Ste 101
Thompsons Stn, TN 37179
Phone (615) 904-2010

Interoperability endpoints

  • Direct secure messaging: bbashline191413@ahs.direct-ci.com
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00147

Organizations & group practices 3

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": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1982947966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 ELLISTON WAY STE 101",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371795482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 ELLISTON WAY STE 101",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371795482",
            "telephone_number": "615-904-2010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "741 President Pl Ste 140",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676808",
            "country_code": "US",
            "telephone_number": "615-905-8083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASHLINE",
        "first_name": "BENJAMIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "3878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thompsons Station, TN

Sources for this page

Verify at the official NPI Registry.