Provider Demographics
NPI:1497850515
Name:SCHARFSTEIN, BENJAMIN S (MD)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:S
Last Name:SCHARFSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MEDICAL PARK BLVD
Mailing Address - Street 2:250 WEST
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-7430
Mailing Address - Country:US
Mailing Address - Phone:423-844-6620
Mailing Address - Fax:423-844-6627
Practice Address - Street 1:1 MEDICAL PARK BLVD
Practice Address - Street 2:250 WEST
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-7430
Practice Address - Country:US
Practice Address - Phone:423-844-6620
Practice Address - Fax:423-844-6627
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34037208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3882258Medicaid
TN266804OtherINDIV ANTHEM/GROUP#093410
TNTN0107OtherJOHN DEERE NOW UNITED HC
TN022276800OtherBLACK LUNG GROUP
VA7314019Medicaid
TN0636398OtherUMWA GROUP
TN4059514OtherBCBS OF TENNESSEE
TNP00007322OtherMCRAILROAD/GROUP#CA8128
TN7032445OtherAETNA
TNF03906748OtherCHAMPUS GROUP
TN4059514OtherBCBS OF TENNESSEE
TNP00007322OtherMCRAILROAD/GROUP#CA8128