MEDICARE: BENJAMIN S SCHARFSTEIN M.D.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	34037	TN
2	208600000X	Surgery Physician	0101275702	VA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4059514	OTHER	TN	BCBS OF TENNESSEE
2	F03906748	OTHER	TN	CHAMPUS GROUP
3	266804	OTHER	TN	INDIV ANTHEM/GROUP#093410
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	P00007322	OTHER	TN	MCRAILROAD/GROUP#CA8128
7	TN0107	OTHER	TN	JOHN DEERE NOW UNITED HC
8	022276800	OTHER	TN	BLACK LUNG GROUP
9	0636398	OTHER	TN	UMWA GROUP
10	7032445	OTHER	TN	AETNA

NPI Number	:	1497850515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN S SCHARFSTEIN M.D.

Provider Business Mailing Address
First Line	:	1021 W OAKLAND AVE STE 310
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-2192
Country	:	US
Telephone Number	:	423-302-6565
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MEDICAL PARK BLVD STE 250W
Second Line	:
City	:	BRISTOL
State	:	TN
Zip	:	37620-7431
Country	:	US
Telephone Number	:	423-844-6620
Fax Number	:	423-844-6626

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	12/19/2024

1 MEDICAL PARK BLVD STE 250W
BRISTOL, TN
37620-7431

Practice Phone: 423-844-6620
Practice Fax: 423-844-6626