NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Peter Donald Sershon, M.D.

Urology Physician in Maryville, TN · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104813138

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Peter Donald Sershon
Credential M.D.
Sex Male
Practice address 425 Bmh Physicians Office Bldg, Maryville, TN, 37804
Phone (865) 980-5260
Enumeration date Oct 4, 2005
Last updated in NPPES Dec 18, 2025

Taxonomy & licenses

208800000X Urology Physician Allopathic & Osteopathic Physicians · License 60706 (TN) Primary
208800000X Urology Physician Allopathic & Osteopathic Physicians · License 33642 (MN) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
Q056401 Medicaid TN -
565205700 Medicaid MN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Peter Sershon?
The National Provider Identifier (NPI) for Peter Sershon is 1104813138, a Type 1 (individual) record in the CMS NPPES registry.
Where does Peter Sershon practice?
The practice location on file with NPPES is in Maryville, TN. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-18.