MEDICARE: PROF. JOHN BRUCE HARRIS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	A20819	CA

General Provider Information

NPI Number	:	1093928277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PROF. JOHN BRUCE HARRIS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1615
Second Line	:
City	:	PEBBLE BEACH
State	:	CA
Zip	:	93953-1615
Country	:	US
Telephone Number	:	831-375-1442
Fax Number	:

Provider Business Practice Location Address
First Line	:	2968 COLTON RD
Second Line	:	BOX 1615
City	:	PEBBLE BEACH
State	:	CA
Zip	:	93953-2943
Country	:	US
Telephone Number	:	831-375-1442
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1609883040 — MR. GEORGE T NICHOLS PH.D.
Practice Location Address:

1014 VAQUERO RD
PEBBLE BEACH, CA
93953-2734

Practice Phone: 831-642-9613
Practice Fax:

1700997749 — DR. PAUL GORDON JAMES MD
Practice Location Address:

1546 RIATA ROAD
PEBBLE BEACH, CA
93953-1275

Practice Phone: 831-625-1139
Practice Fax: 831-625-1139

1629165295 — DR. CHRISTINE KIM-LAN NGUYEN D.D.S.
Practice Location Address:

4087 SUNRIDGE RD
PEBBLE BEACH, CA
93953-3033

Practice Phone: 650-906-1363
Practice Fax:

1326118761 — ROBERTSON PARKMAN MD
Practice Location Address:

1407 LISBON LN
PEBBLE BEACH, CA
93953-3207

Practice Phone: 626-840-1062
Practice Fax:

1598979577 — DR. DAVID STEPHEN TERMAN M.D.
Practice Location Address:

3183 PALMERO WAY
PEBBLE BEACH, CA
93953

Practice Phone: 831-624-8569
Practice Fax:

1639323165 — JILLIAN REBEKAH PETERSON MS, OTR/L
Practice Location Address:

2834 CONGRESS RD
PEBBLE BEACH, CA
93953-3107

Practice Phone: 858-866-6228
Practice Fax:

Directions to “ PROF. JOHN BRUCE HARRIS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.