Bruce W Kornfeld (NPI# 1326074774, PAC ID# 0244120236) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1326074774 |
| PAC ID by PECOS | 0244120236 |
| Professional Enrollment ID | I20100902000194 |
| Full Name | Bruce W Kornfeld |
| Organization Legal Name | ADVANCED DERMATOLOGY OF WYOMING, INC |
| Address |
255 N 30th St Laramie WY 82072-5140 |
| Phone Number | 9704829001 |
| Gender | M |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7517253750 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060010 | POUDRE VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1006 Centre Ave, Fort Collins, CO 80526-1849 | 9704843050 | ADVANCED DERMATOLOGY OF COLORADO PC |
| 1100 Poudre River Dr, Unit A, Fort Collins, CO 80524-3557 | 9704843050 | ADVANCED DERMATOLOGY OF COLORADO PC |
| 62 S Redmond St, Jackson, WY 83002 | 3077345864 | ADVANCED DERMATOLOGY OF WYOMING, INC |
| 255 N 30th St, Laramie, WY 82072-5140 | 9704829001 | ADVANCED DERMATOLOGY OF WYOMING, INC |
| 625 E Hennick, Pinedale, WY 82941 | 3077345864 | ADVANCED DERMATOLOGY OF WYOMING, INC |
| Organization Legal Name | ADVANCED DERMATOLOGY OF WYOMING, INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian B Anderson | Dermatology | Advanced Dermatology of Wyoming, Inc | 62 S Redmond St, Jackson, WY 83002 |
| James Garris Morgan | Dermatology | Advanced Dermatology of Wyoming, Inc | 5647 Us Hwy 26, Dubois, WY 82513-9607 |
| Kent L Shippen | Physician Assistant | Advanced Dermatology of Wyoming, Inc | 5647 Us Hwy 26, Dubois, WY 82513-9607 |
| Street Address |
255 N 30TH ST |
| City | LARAMIE |
| State | WY |
| Zip | 82072-5140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lars E Peterson | Internal Medicine | Ivinson Memorial Hospital | 255 N 30th St, Laramie, WY 82072-5140 |
| Beth J Romsa | Nurse Practitioner | Ivinson Memorial Hospital | 255 N 30th St, Laramie, WY 82072-5140 |
| Lisa M Hile | Emergency Medicine | Ivinson Memorial Hospital | 255 N 30th St, Laramie, WY 82072-5140 |
| Sameera Fareed Farrukh | Internal Medicine | Ivinson Memorial Hospital | 255 N 30th St, Laramie, WY 82072-5140 |
| Patrick W Tufts | Family Medicine | Ivinson Memorial Hospital | 255 N 30th St, Laramie, WY 82072-5140 |
| Derek Allen Ewell | Obstetrics/gynecology | Ivinson Memorial Hospital | 255 N 30th St, Laramie, WY 82072-5140 |
| John J Byers | Family Medicine | Ivinson Memorial Hospital | 255 N 30th St, Laramie, WY 82072-5140 |
| David Christopher Hile | Pain Management | Ivinson Memorial Hospital | 255 N 30th St, Laramie, WY 82072-5140 |
| Heather L Lewis | Surgical Oncology | Ivinson Memorial Hospital | 255 N 30th St, Laramie, WY 82072-5140 |
| Barry M Nelson | Emergency Medicine | Ivinson Memorial Hospital | 255 N 30th St, Laramie, WY 82072-5140 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Catherine Risley | Nurse Practitioner | Laramie Physicians for Women P.C. | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Tracy L Amadio | Nurse Practitioner | Gastroenterology Associates PC | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Erin M Kyle | Registered Dietitian Or Nutrition Professional | Laramie Physicians for Women P.C. | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Kent D Katz | Gastroenterology | Gastroenterology Associates PC | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Elizabeth Rogal Smith | Nurse Practitioner | Laramie Physicians for Women P.C. | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Travis D Klingler | Obstetrics/gynecology | Laramie Physicians for Women P.C. | 2710 Harney St, Suite 100, Laramie, WY 82072-0001 |
| Anne C Fitzgerald | Psychologist, Clinical | 1465 N 4th St, Suite 113, Laramie, WY 82072-2066 | |
| J'laine Proctor | Nurse Practitioner | 1465 N 4th St, Suite 103, Laramie, WY 82072-2066 | |
| Frances L Price | Psychologist, Clinical | 1465 N 4th St, Suite 101, Laramie, WY 82072-2066 | |
| James K Boo | Physical Therapy | Homestead Physical Therapy PC | 1575 N 4th St, Suite 101, Laramie, WY 82072-2091 |
| Find all physicians in zip 82072 | |||
| City | LARAMIE |
| Zip Code | 82072 |
| Specialty | DERMATOLOGY |
| City + Specialty | LARAMIE + DERMATOLOGY |
Please comment or provide details below to improve the information on Bruce W Kornfeld.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.