MEDICARE: NEURO PULSE SOLUTIONS

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1720939531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEURO PULSE SOLUTIONS

Provider Business Mailing Address
First Line	:	170 LAKE SHORE DR
Second Line	:
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-4055
Country	:	US
Telephone Number	:	760-567-8207
Fax Number	:

Provider Business Practice Location Address
First Line	:	72301 COUNTRY CLUB DR STE 104
Second Line	:
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-8007
Country	:	US
Telephone Number	:	760-691-2069
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JERALYN ELLICE BROSSFIELD
Credential	:	MD
Telephone Number	:	760-567-8208

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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