MEDICARE: DR. BOBBY GENE FIELD MD

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	207V00000X	Obstetrics & Gynecology Physician	G22056	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00G220560	OTHER	CA	MEDICAL

General Provider Information

NPI Number	:	1699739912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BOBBY GENE FIELD MD

Provider Business Mailing Address
First Line	:	3533 OAK HAVEN CT
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95404-1309
Country	:	US
Telephone Number	:	707-529-7321
Fax Number	:

Provider Business Practice Location Address
First Line	:	1165 MONTGOMERY DR
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95405-4801
Country	:	US
Telephone Number	:	707-303-8307
Fax Number	:	707-303-1992

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

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	01/25/2021

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