# DR. BRUCE MICHAEL CONGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992706618
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0037013 | MD | Yes |

## Other

- **Enumeration date:** 08/03/2005
- **Last updated:** 03/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 013800 | JHHC PROVIDER NUMBER | MD |
| 01 | — | 0477614 | AETNA CAPITATED | MD |
| 01 | — | 110161668 | RR MEDICARE | MD |
| 01 | — | 1360072 | CIGNA PIN | MD |
| 05 | — | 234221900 | — | MD |
| 01 | — | 243343 | MAMSI SPECIALIST | MD |
| 01 | — | 3509-0001 | CAREFIRST BLUECHOICE | MD |
| 01 | — | 400832-01 | CAREFIRST MD RENDERING | MD |
| 01 | — | 4246817 | AETNA FEE FOR SERVICE | MD |
| 01 | — | 843343 | MAMSI PRIMARY CARE | MD |
| 01 | — | P12728 | CAREFIRST MPOS | MD |