Bruce John Zimmerman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

104358 Issued in CO

Practice address

1155 Kelly Johnson Blvd
Suite 210
Colorado Springs, CO 80920-3932

Phone

(719) 593-9100

Fax

(719) 593-9101

NPI assigned

Dec 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366427825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 KELLY JOHNSON BLVD",
            "address_2": "SUITE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203932",
            "telephone_number": "719-593-9100",
            "fax_number": "719-593-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 KELLY JOHNSON BLVD",
            "address_2": "SUITE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203932",
            "telephone_number": "719-593-9100",
            "fax_number": "719-593-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "BRUCE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "104358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02043586",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Daniel Zill, M.D.
• Sarah M Zill, NURSE PRACTIONER
• James A Zimmer, DO
• Peter W Zimmer, M.D.
• Ali Zimmerman
• Kara Lynn Zimmerman, MS, LMFT, LCPC, LPC
• Pamela Zimmerman, RDH
• Payton Zimmerman
• Zina Ortiz
• Zina Ortiz

• Dentist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.