Individual provider Active NPI

Bruce L Hirshman, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Ukiah, CA
National Provider Identifier
1790706000
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
4672 Issued in CA
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

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190514002483 CA Practitioner - Pain Management 6800899253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Interventional 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 HospitalGroup PAC ID 6406816123, shared by 5 NPIs, 136 clinicians

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

LicenseStateTypeSpecialty
FLOS0006613FLMDPain Medicine (Anesthesiology) Physician
2006012480MOMDPain Medicine (Anesthesiology) Physician
20436MSMDPain Medicine (Anesthesiology) Physician
4672CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Adventist Health Physicians Network CurrentSince Apr 15, 2019 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Feb 28, 2018 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Feb 28, 2018 Accepting new patients
Adventist Health Physicians Network CurrentSince Apr 15, 2019 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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.