Provider Demographics
NPI:1699739912
Name:FIELD, BOBBY GENE (MD)
Entity type:Individual
Prefix:DR
First Name:BOBBY
Middle Name:GENE
Last Name:FIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3533 OAK HAVEN CT
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-1309
Mailing Address - Country:US
Mailing Address - Phone:707-529-7321
Mailing Address - Fax:
Practice Address - Street 1:1165 MONTGOMERY DR
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95405-4801
Practice Address - Country:US
Practice Address - Phone:707-303-8307
Practice Address - Fax:707-303-1992
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG22056207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G220560OtherMEDICAL
CA00G220560OtherMEDICAL
CA00G220561Medicare ID - Type Unspecified