Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bernard Ernest Roscoe

Individual provider Family Medicine Physician · NPI 1316301617

Bernard Ernest Roscoe is a Family Practice in Reno, Nevada. Qualified in 2018, 8 years ago. Practices with Custom Physical Therapy Limited Partnership, a 81-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
8
Licensed in
NV
In the registry since
2016
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Practice location Address checks out

75 Pringle Way Ste 601
Reno, NV 89502-1472
Phone: (775) 982-5000
Fax: (775) 982-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO3001 (NV)

Record details

NPI number1316301617
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2016
Last updated in NPPESAugust 13, 2021
Certification dateAugust 13, 2021
Mailing address1155 Mill St # McM14, Reno, NV 89502-1576

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Custom Physical Therapy Limited Partnership — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Reno