Provider Demographics
NPI:1417950155
Name:ZINSMEISTER, BRUCE WALTER (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:WALTER
Last Name:ZINSMEISTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8830 CAMERON ST.
Mailing Address - Street 2:SUITE 601
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4158
Mailing Address - Country:US
Mailing Address - Phone:301-587-7040
Mailing Address - Fax:301-588-8824
Practice Address - Street 1:2900 LINDEN LN STE 200
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1266
Practice Address - Country:US
Practice Address - Phone:301-587-7040
Practice Address - Fax:301-588-8824
Is Sole Proprietor?:No
Enumeration Date:2005-05-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD24819207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD276261701Medicaid
MD523755-01OtherCAREFIRST BCBS OF MD
DC06000003OtherCAREFIRST BCBS NCA
MD4053821OtherAETNA
DC022624300Medicaid
MD20738OtherMAMSI MDIPA OPTIMUM CHOIC
B94717Medicare UPIN
MD276261701Medicaid