Healthcare Provider Details

I. General information

NPI: 1417950155
Provider Name (Legal Business Name): BRUCE WALTER ZINSMEISTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2005
Last Update Date: 07/21/2022
Certification Date: 07/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 LINDEN LN STE 200
SILVER SPRING MD
20910-1266
US

IV. Provider business mailing address

8830 CAMERON ST. SUITE 601
SILVER SPRING MD
20910-4158
US

V. Phone/Fax

Practice location:
  • Phone: 301-587-7040
  • Fax: 301-588-8824
Mailing address:
  • Phone: 301-587-7040
  • Fax: 301-588-8824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberD24819
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberD24819
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: