Individual
JEAN BISMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
M7050
TX
2086S0129X
Vascular Surgery Physician
Primary
ME164624
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639330053
BLUE CROSS BLUE SHIELD
TX
05
—
197950201
—
TX
05
—
197950203
—
TX
05
—
197950204
—
TX
05
—
197950205
—
TX
01
—
8BC029
BCBS
TX
01
—
P01318687
RR MEDICARE
TX
Enumeration date
06/18/2008
Last updated
11/27/2023
Update your record
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