Active NPI
Bruce L Hirshman, D.O.
- Pain Medicine (Anesthesiology) Physician
- Ukiah, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 4672
- Practice address
- 260 Hospital Dr Ste 102
Ukiah, CA 95482 - Phone
- (707) 463-7461
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 5101007636 | MI | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | FLOS0006613 | FL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 2006012480 | MO | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 20436 | MS | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 4672 | CA | Primary |
Addresses
Primary practice location
260 Hospital Dr Ste 102
Ukiah, CA 95482
Mailing address
260 Hospital Dr Ste 102
Ukiah, CA 95482-4568
Other practice location 1
975 S Monroe St
Suite C
Monroe, MI 48161-1477
Phone (734) 241-0560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Michigan State University College of Osteopathic Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ukiah Adventist Hospital
Practice addresses (Care Compare)
260 Hospital Dr
Ukiah, CA 95482-4568
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FLOS0006613 | FL | MD | Pain Medicine (Anesthesiology) Physician |
| 2006012480 | MO | MD | Pain Medicine (Anesthesiology) Physician |
| 20436 | MS | MD | Pain Medicine (Anesthesiology) Physician |
| 4672 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Key West Urgent Care Inc | Past | Accepting new patients | |
| Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Past | Accepting new patients | |
| Downriver Medicine Associates PLC | Past | Accepting new patients | |
| Ms Methodist Hospital & Rehabilitation Center | Past | Accepting new patients | |
| Windber Hospital, Inc. | Pain Medicine | Past | Accepting new patients |
| Methodist Pain Management, LLC | Past | Accepting new patients | |
| Monroe Geriatric Evaulation and Management Services PLLC | Past | Accepting new patients |
Locations
15322 Lakeshore Dr
Ste 102
Clearlake, CA 95422
Phone (707) 994-2030
260 Hospital Dr
Ste 102
Ukiah, CA 95482
Phone (707) 463-7461
1450 Scalp Ave
Johnstown, PA 15904
Phone (814) 266-1189
1450 Scalp Ave
Ste 2100
Johnstown, PA 15904
Phone (814) 269-5211
1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
Organizations & group practices 13
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.
-
- Multi-Specialty Clinic/Center
- Hanford, CA
- NPI 1063718583
-
- Physical Therapy Clinic/Center
- Paradise, CA
- NPI 1134092190
-
- Cardiovascular Disease Physician
- Clearlake, CA
- NPI 1588961676
-
- Internal Medicine Physician
- Johnstown, PA
- NPI 1205242609
-
dba Conemaugh Physician Group Ebensburg Industrial Park
- Family Medicine Physician
- Ebensburg, PA
- NPI 1831505981
-
dba Conemaugh Physician Group Cresson
- Family Medicine Physician
- Cresson, PA
- NPI 1932515905
-
- Internal Medicine Physician
- Flat Rock, MI
- NPI 1114055811
-
- General Practice Physician
- Key West, FL
- NPI 1710991021
-
- Pain Clinic/Center
- Jackson, MS
- NPI 1265527899
-
dba Methodist Rehab Center
- Physical Medicine & Rehabilitation Physician
- Jackson, MS
- NPI 1790711273
-
- Internal Medicine Physician
- Monroe, MI
- NPI 1215117023
-
dba Methodist Rehab Ceter
- Clinical Neuropsychologist
- Jackson, MS
- NPI 1285772293
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health Ukiah Valley
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1790706000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 HOSPITAL DR STE 102",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 HOSPITAL DR STE 102",
"city": "UKIAH",
"state": "CA",
"postal_code": "95482",
"telephone_number": "707-463-7461"
}
],
"practiceLocations": [
{
"address_1": "975 S Monroe St",
"address_2": "Suite C",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "MI",
"postal_code": "481611477",
"country_code": "US",
"telephone_number": "734-241-0560",
"fax_number": "734-241-3230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIRSHMAN",
"first_name": "BRUCE",
"middle_name": "L",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MI",
"license": "5101007636",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "FLOS0006613",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MO",
"license": "2006012480",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MS",
"license": "20436",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "4672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.