Bruce B Chisholm (NPI# 1932206851, PAC ID# 5698932804) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1932206851 |
| PAC ID by PECOS | 5698932804 |
| Professional Enrollment ID | I20120131000182 |
| Full Name | Bruce B Chisholm |
| Address |
39300 Bob Hope Dr Rancho Mirage CA 92270-3203 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1995 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Secondary Specialties | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050573 | EISENHOWER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 39300 Bob Hope Dr, Rancho Mirage, CA 92270-3203 |
| Street Address |
39300 BOB HOPE DR |
| City | RANCHO MIRAGE |
| State | CA |
| Zip | 92270-3203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith B Zacher | Plastic and Reconstructive Surgery | 39300 Bob Hope Dr, Suite 1106, Rancho Mirage, CA 92270-3203 | |
| Anibal R Gauto | Vascular Surgery | Eisenhower Medical Center | 39300 Bob Hope Dr, Suite 1109, Rancho Mirage, CA 92270-3203 |
| Cari Lynn Sudmeier | Nurse Practitioner | Eisenhower Medical Center | 39300 Bob Hope Dr, Suite 1207, Rancho Mirage, CA 92270-7088 |
| Murray D. Taylor | Family Medicine | 39300 Bob Hope Dr, Rancho Mirage, CA 92270-3203 | |
| Elisa M Lindley | Obstetrics/gynecology | Eisenhower Medical Center | 39300 Bob Hope Dr, Suite 1109, Rancho Mirage, CA 92270-3203 |
| Natasha K Creighton | Internal Medicine | Eisenhower Medical Center | 39300 Bob Hope Dr, Suite 1109, Rancho Mirage, CA 92270-3203 |
| Tate A Deleon | Family Medicine | Eisenhower Medical Center | 39300 Bob Hope Dr, Suite 1109, Rancho Mirage, CA 92270-3203 |
| Lee W Erlendson | Anesthesiology | 39300 Bob Hope Dr, Suite 1203, Rancho Mirage, CA 92270-3203 | |
| Sadaf Regar | Physician Assistant | Rancho Mirage Pain Associates, Inc. | 39300 Bob Hope Dr, Suite 1203, Rancho Mirage, CA 92270-3203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Ann Conrad | Nurse Practitioner | Rupinder Mann M D Inc | 72047 Pinah Shore Dr, Suite 4, Rancho Mirage, CA 92270 |
| Andrew Robert Rothstein | Podiatry | 69730 Hwy IIi, Suite 101, Rancho Mirage, CA 92270 | |
| Balaji Nettimi | Psychologist, Clinical | 45 -525 Rancho Mirage Ln B, Rancho Mirage, CA 92270 | |
| Rupinder Mann | Geriatric Medicine | Rupinder Mann M D Inc | 72047 Pinah Shore Dr, Suite 4, Rancho Mirage, CA 92270 |
| Priscilla A Slagle | Psychiatry | 24 Scarborough Way, Rancho Mirage, CA 92270-1624 | |
| Chun K Kim | Oral Surgery | 35900 Bob Hope Dr, Suite 110, Rancho Mirage, CA 92270-1700 | |
| Klaus Yi | Oral Surgery | 34530 Bob Hope Dr B, Rancho Mirage, CA 92270-1727 | |
| Kurt D Cao | Certified Registered Nurse Anesthetist (crna) | Mission Nursing Anesthesia, Inc. | 35800 Bob Hope Dr, Suite 100, Rancho Mirage, CA 92270-1739 |
| David P Schreiber | Radiation Oncology | 35800 Bob Hope Dr, Suite 215, Rancho Mirage, CA 92270-1739 | |
| Craig Marshall Johnson | Certified Registered Nurse Anesthetist (crna) | Mission Nursing Anesthesia, Inc. | 35800 Bob Hope Dr, Suite 100, Rancho Mirage, CA 92270-1739 |
| Find all physicians in zip 92270 | |||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | RANCHO MIRAGE + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Bruce B Chisholm.
| 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.