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DR. BRUCE GRANT LYMAN BISHOP M.D.
NPI 1174693733
Dermatology in St George, UT

Active since November 09, 2006PECOS Enrolled
552 N DIXIE DR, ST GEORGE, UT 84770(435) 703-9296 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Bruce Grant Lyman Bishop M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRUCE GRANT LYMAN BISHOP M.D. (NPI 1174693733) is an individual dermatology provider in St George, Utah, licensed in Utah (870346694) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1174693733
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. BRUCE GRANT LYMAN BISHOPCredential: M.D.
Location Address552 N DIXIE DRSt George, UT 84770-5551
Mailing AddressPo Box 217Layton, UT 84041-0217 · (435) 703-9296
Phone(435) 703-9296
Sole ProprietorYes
Enumeration DateNovember 9, 2006
Last NPPES UpdateApril 11, 2019
✔ NPI 1174693733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in UT · 870346694
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
552 N DIXIE DR, St George, UT 84770
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Secondary Practice Locations 4

Location 118325 N Allied Way Ste 120Phoenix, AZ 85054-3107 · Phone (928) 776-0325 · Fax (928) 776-0405
Location 2203 S Candy Ln Ste 14Cottonwood, AZ 86326-4120 · Phone (928) 639-3387 · Fax (928) 634-0311
Location 3830 Ainsworth DrPrescott, AZ 86301-1630 · Phone (928) 776-0325 · Fax (928) 776-0405
Location 42820 N Glassford Hill Rd Ste 107Prescott Valley, AZ 86314-2256 · Phone (928) 772-8553 · Fax (928) 772-3861

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bruce Grant Lyman Bishop M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Bruce Bishop reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Twin Ports Dermatology Inc
1,290 mi
Physician Assistant
1414 WOODLAND AVE
Duluth, MN 55803
  • Reassigned Medicare billing, Minnesota enrollment
  • 9 clinicians in this Medicare group
NPI 1316348725 (218) 343-7452

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84770 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WHISTLN' DIXIE CHIROPRACTIC P.C.
Chiropractor
552 N DIXIE DR, SUITE C
ST GEORGE, UT 84770
Washington County (435) 688-9551
DR. JOSHUA D SWALBERG D.C.
Chiropractor
552 N DIXIE DR, SUITE C
ST GEORGE, UT 84770
Washington County (435) 628-9286

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Bishop's NPI number?

The NPI number for Bruce Bishop is 1174693733. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Bruce Bishop located?

Bruce Bishop practices at 552 N Dixie Dr, St George, UT 84770. The listed phone number is (435) 703-9296.

What is Bruce Bishop's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Bruce Bishop enrolled in Medicare?

Yes. Bruce Bishop is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bruce Bishop's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bruce Bishop reassigns Medicare benefits to Twin Ports Dermatology Inc (Duluth, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bruce Bishop's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bruce Bishop was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.