MEDICARE: BRUCE E SEMANS 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	291U00000X	Clinical Medical Laboratory	036-099321	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	070016016	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0008426749	OTHER	IL	BLUE CROSS & BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	399465	OTHER	IL	HEALTHLINK
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710083563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRUCE E SEMANS MD

Provider Business Mailing Address
First Line	:	101 E MAIN ST
Second Line	:
City	:	ROCHESTER
State	:	IL
Zip	:	62563-9507
Country	:	US
Telephone Number	:	217-498-5949
Fax Number	:	217-498-5950

Provider Business Practice Location Address
First Line	:	101 E MAIN ST
Second Line	:
City	:	ROCHESTER
State	:	IL
Zip	:	62563-9507
Country	:	US
Telephone Number	:	217-498-5949
Fax Number	:	217-498-5950

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

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	02/05/2025

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Directions to “ BRUCE E SEMANS MD” Practice Location

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