Bruce B Chisholm MD a Professional Corporation

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

G81937 Issued in CA

Legal business name

BRUCE B CHISHOLM MD A PROFESSIONAL CORPORATION

Practice address

39300 Bob Hope Dr
Bannan BLDG Suite 1208
Rancho Mirage, CA 92270-7088

Phone

(760) 779-9559

NPI assigned

Feb 9, 2012

Last updated

Feb 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bruce B Chisholm, M.D.NPI 1932206851

Title

President

Phone

(760) 779-9559

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce B Chisholm, M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Rancho Mirage, CA
  • NPI 1932206851
  Authorized official Same address or phone
• Andrew Stephen Janik, M.D.

  • Psychiatry Physician
  • Rancho Mirage, CA
  • NPI 1992777098
  NPD (past)
• Timothy J Wolf, C.R.N.A.08/

  • Certified Registered Nurse Anesthetist
  • West Covina, CA
  • NPI 1003844200
  NPD (past)

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1700159548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39300 BOB HOPE DR",
            "address_2": "BANNAN BLDG SUITE 1208",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922707088",
            "telephone_number": "760-779-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39300 BOB HOPE DR",
            "address_2": "BANNAN BLDG SUITE 1208",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922707088",
            "telephone_number": "760-779-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE B CHISHOLM MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "CHISHOLM",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-779-9559",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "G81937",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G81937",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bristol Hospice - Coachella Valley, L.L.C.
• Pamela Broska, M.D.
• Jeralyn Ellice Brossfield, MD
• Rubi Zelena Brothers, RN
• Richard Wayne Brown
• Wesley Thomas Buckle, ND
• Logan Buckner, PT, DPT
• Joseph Bui, MD
• Slavka N/a Bulleova, M.D
• Thomas Joseph Buretta, MD, MBA

• Oral & Maxillofacial Surgery (D.M.D.) in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.