Bruce J Andersen Md Phd Pa in Boise - Neurological Surgery
Bruce J Andersen Md Phd Pa - NPI 1851300503
Bruce J Andersen Md Phd Pa is a Neurological Surgery in Boise, Idaho. Bruce J Andersen Md Phd Pa practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Bruce J Andersen Md Phd Pa is 1851300503. The last update date is 2011-03-04.
Bruce J Andersen Md Phd Pa's current location address is 6140 Curtisian Ave, Boise, Idaho. You can contact this provider via phone number 2083673500 and fax number 2083672968. The mailing address for Bruce J Andersen Md Phd Pa is 6140 Curtisian Ave, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bruce J Andersen Md Phd Pa |
|---|---|
| Address | 6140 Curtisian Ave, Boise, Idaho |
| Phone Number | 2083673500 |
| Fax Number | 2083672968 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Andersen J Bruce |
| Credentials | MD PHD |
| Telephone Number | 2083673500 |
NPI Number Detail
| NPI Number | 1851300503 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2011-03-04 |
Provider Mailing Address Detail
| Address | 6140 Curtisian Ave |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837048880 |
| Phone Number | 2083673500 |
| Fax Number | 2083672968 |
Provider's Primary Taxonomy Detail
| Speciality | Neurological Surgery |
|---|---|
| Taxonomy | 207T00000X |
| Licence No | M7767 |
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Definition: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 72504 | ID | BLUE CROSS OF IDAHO | |
| 145403 | WA | WA DEPARTMENT OF LABOR | |
| 805457400 | ID | -- | |
| 134024 | ID | OMAP | |
| 185529500 | US DEPARTMENT OF LABOR | ||
| 10026334 | ID | REGENCE BLUE SHIELD | |
| 8J703 | ID | BLUE CROSS OF IDAHO GROUP | |
| 87732500 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bruce J Andersen Md Phd Pa by the Centers for Medicare & Medicaid Services?
The Bruce J Andersen Md Phd Pa has been assigned the NPI (National Provider Identifier) 1851300503 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Bruce J Andersen Md Phd Pa located?
The Bruce J Andersen Md Phd Pa is located at 6140 Curtisian Ave, Boise, ID 837048880.
What is Bruce J Andersen Md Phd Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bruce J Andersen Md Phd Pa is Neurological Surgery, and the taxonomy classification code that categorizes this area of expertise is 207T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1851300503 to Bruce J Andersen Md Phd Pa?
The Centers for Medicare & Medicaid Services assigned the 1851300503 to Bruce J Andersen Md Phd Pa on 2006-08-05.
As of what date were the details related to Bruce J Andersen Md Phd Pa most recently updated or revised?
The information pertaining to Bruce J Andersen Md Phd Pa, including its address, specialty, and other relevant details, was last updated or revised on 2011-03-04.