Dr. Jeralyn Ellice Brossfield
Gynecologist
72301 Country Club Dr Ste 104
Rancho Mirage
, California 92270-8007
Dr. Jeralyn Ellice Brossfield
Gynecologist
72301 Country Club Dr Ste 104
Rancho Mirage
, California 92270-8007
(760) 797-7189
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Jeralyn Ellice Brossfield
- 8 Waterloo Ct
- Rancho Mirage, CA
- Zip : 92270-1663
- Fax : (760) 797-7189
- Phone : (760) 567-8208
Second Address
- Dr. Jeralyn Ellice Brossfield
- 72301 Country Club Dr Ste 104
- Rancho Mirage, CA
- Zip : 92270-8007
- Fax : (760) 797-7189
- Phone : (760) 573-2761
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | A064527 | CA |
National Provider Identifier
| NPI | 1073689683 |
|---|---|
| Provider Name | Dr. Jeralyn Ellice Brossfield |
| First Address | Rancho Mirage, CA 92270-1663 |
| Second Address | Rancho Mirage, CA 92270-8007 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/11/2006 |
| Last Update Date | 19/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H19388 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.