DR. BRUCE GRANT LYMAN BISHOP (M.D.) – Dermatology Physician, NPI 1174693733
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. BRUCE GRANT LYMAN BISHOP (M.D.)
PO BOX 217
LAYTON, UT 840410217
Phone: (435) 703-9296
Type: Mailing
18325 N Allied Way Ste 120
Phoenix, AZ 850543107
Phone: (928) 776-0325
Fax: (928) 776-0405
Type: Location
203 S Candy Ln Ste 14
Cottonwood, AZ 863264120
Phone: (928) 639-3387
Fax: (928) 634-0311
Type: Location
830 Ainsworth Dr
Prescott, AZ 863011630
Phone: (928) 776-0325
Fax: (928) 776-0405
Type: Location
2820 N Glassford Hill Rd Ste 107
Prescott Valley, AZ 863142256
Phone: (928) 772-8553
Fax: (928) 772-3861
Type: Location
The Skin Institute, 552, North Dixie Drive, St. George, Washington County, Utah, 84770, United States
ST GEORGE, UT 847705551
Phone: (435) 703-9296
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-07-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040205000236 | I | Dermatology | UT | TBD |
| I20150717001785 | I | Dermatology | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 127 | 22 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 31 | 25 | $0 |
Insurance plans in this area (ZIP 84041)
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Provider's Procedures
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