Provider Demographics
NPI:1770670226
Name:HIRSCHFELD, BRUCE J (MD)
Entity Type:Individual
Prefix:
First Name:BRUCE
Middle Name:J
Last Name:HIRSCHFELD
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7200 CATHEDRAL ROCK DR
Mailing Address - Street 2:STE #130
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128
Mailing Address - Country:US
Mailing Address - Phone:702-228-8600
Mailing Address - Fax:702-228-8689
Practice Address - Street 1:7200 CATHEDRAL ROCK DR
Practice Address - Street 2:STE #130
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128
Practice Address - Country:US
Practice Address - Phone:702-228-8600
Practice Address - Fax:702-228-8689
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2023-04-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IDMC-09552086S0129X
NV60592086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002002091Medicaid
NV36354Medicare PIN
NVV36354Medicare PIN
NV002002091Medicaid