Individual provider Active NPI

Bruce Alan Hershfield, MD

  • Psychiatry Physician
  • Sparks, MD
National Provider Identifier
1164529079
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D16498 Issued in MD
Practice address
1415 Cold Bottom Rd
Sparks, MD 21152-9520
Phone
(410) 771-4575
Fax
(208) 694-4107
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D16498 MD Primary

Addresses

Primary practice location

1415 Cold Bottom Rd
Sparks, MD 21152-9520

Mailing address

1415 Cold Bottom Rd
Sparks, MD 21152-9520
Phone (410) 771-4575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 22, 2019 through Jul 22, 2027

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
State University of Ny Upstate Medical University, 1971
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1415 Cold Bottom Rd
Sparks, MD 21152-9520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164529079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 COLD BOTTOM RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529520",
            "telephone_number": "410-771-4575",
            "fax_number": "208-694-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 COLD BOTTOM RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529520",
            "telephone_number": "410-771-4575",
            "fax_number": "208-694-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHFIELD",
        "first_name": "BRUCE",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D16498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, MD

Sources for this page

Verify at the official NPI Registry.