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BRUCE M ESPENSHADE MD
>> Emergency Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1265655237
Individual Registrant: BRUCE M ESPENSHADE MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
10 WOODLAND RD SAINT HELENA, CA 94574-9554 US
Tel: 707-963-6399 Fax: 707-967-5915
Tel: 707-963-6399 Fax: 707-967-5915
Contact information for business:
PO BOX 7096 STOCKTON, CA 95267-0096 US
Tel: 209-956-7725 Fax: 209-956-7733
Tel: 209-956-7725 Fax: 209-956-7733
Registration Information:
NPI: 1265655237
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207P00000X | Allopathic & Osteopathic Physicians Emergency Medicine | KY | 42342 |
| N | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | KY | 42342 |
| N | 208M00000X | Allopathic & Osteopathic Physicians Hospitalist | CA | C139297 |
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CA | C139297 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| ANTHEM-NICC | 000000759205 | KY | 01 |
| 7100068760 | KY | 05 | |
| BCBS | 000000601798 | KY | 01 |
| 201140380 | IN | 05 | |
| MEDICARE- NORTON HEALTHCARE | K042110 | KY | 01 |
