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Deactivated NPI 1033424981 Deactivated / Inactive NPI Male Practitioner

Bruce Kimzey , BSJD

Driver • Shingle Springs, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bruce Kimzey has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 16, 2010
NPI Deactivation Date August 10, 2021
Total Practice Duration ~11 Years of Practice (2010 – 2021)

Professional Overview & Biography Verified Profile Summary

Bruce Kimzey, BSJD was a registered Driver practicing in Shingle Springs, CA. Throughout an active medical career spanning 11 years, Bruce Kimzey provided care at the practice location at 2697 GOLDEN FAWN TRL until profile deactivation on 2021-08-10.

Practice Location & Contact Primary Location

Practice Address

2697 Golden Fawn Trl
Suite 100

Shingle Springs, CA 956829417

Telephone 5306763113

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Shingle Springs, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Shingle Springs, CA (785 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License CA A0129735

A person employed to operate a motor vehicle as a carrier of persons or property.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 10, 2021

Record deactivated on August 10, 2021

NPI Profile Active August 16, 2010

NPI status registered as active in NPPES database

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Updated Practice Location August 16, 2010

Registered at 2697 GOLDEN FAWN TRL, SUITE 100, SHINGLE SPRINGS, CA 956829417 (Tel: 5306763113)

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Updated Business Mailing Address August 16, 2010

Registered at 2697 GOLDEN FAWN TRL, SHINGLE SPRINGS, CA 956829417 (Tel: 5306763113)

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Provider Name / Credentials Updated August 16, 2010

Recorded as BRUCE KIMZEY, B.S.J.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2010

Driver (License #A0129735 in CA)

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Initial NPI Registration & Enumeration August 16, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033424981
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2010
Last Update: August 16, 2010
Deactivation Date: August 10, 2021

Mailing Address

2697 Golden Fawn Trl

Shingle Springs, CA 956829417

Phone: 5306763113

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.