Active NPI
Jeralyn Ellice Brossfield, MD
- Gynecology Physician
- Rancho Mirage, CA
National Provider Identifier
1073689683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- A064527
- Practice address
- 72301 Country Club Dr Ste 104
Rancho Mirage, CA 92270-8007 - Phone
- (760) 573-2761
- Fax
- (760) 797-7189
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | A064527 | CA | Primary |
Addresses
Primary practice location
72301 Country Club Dr Ste 104
Rancho Mirage, CA 92270-8007
Mailing address
8 Waterloo CT
Rancho Mirage, CA 92270-1663
Phone (760) 567-8208
Other practice location 1
5550 Painted Mirage Rd Ste 215
Las Vegas, NV 89149-4581
Phone (760) 567-8207
Other names 1
- Jeralyn Ellice Whitehouse
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | info@xohealth.net | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191206002032 | CA | Order and Referring Only - Obstetrics/Gynecology | 0345298659 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A064527 | CA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeralyn Brossfield M.D., a Professional Corporation | Gynecology | Current | Accepting new patients |
| My Optimal Life | Gynecology | Past | Accepting new patients |
| Eisenhower Medical Center | Past | Accepting new patients | |
| Neuro Pulse Solutions | Past | Accepting new patients |
Locations
72301 Country Club Dr
Ste 105
Rancho Mirage, CA 92270
Phone (760) 541-6163
Interoperability endpoints
- jeralyn.brossfield@68785807163396.direct.elationemr.com
- jeralyn.brossfield@402023130595332.direct.elationemr.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gynecology Physician
- Rancho Mirage, CA
- NPI 1790598381
-
- Psychiatry Physician
- Rancho Mirage, CA
- NPI 1720939531
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1710272893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783728000000",
"number": "1073689683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 WATERLOO CT",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922701663",
"telephone_number": "760-567-8208",
"fax_number": "760-797-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72301 COUNTRY CLUB DR STE 104",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922708007",
"telephone_number": "760-573-2761",
"fax_number": "760-797-7189"
}
],
"practiceLocations": [
{
"address_1": "5550 Painted Mirage Rd Ste 215",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891494581",
"country_code": "US",
"telephone_number": "760-567-8207",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROSSFIELD",
"first_name": "JERALYN",
"middle_name": "ELLICE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2026-07-11",
"certification_date": "2026-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "A064527",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "info@xohealth.net",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "72301 Country Club Dr Ste 104",
"city": "Rancho Mirage",
"state": "CA",
"country_code": "US",
"postal_code": "922708007",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JERALYN",
"last_name": "WHITEHOUSE",
"middle_name": "ELLICE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.