Individual
BRUCE RICHARD JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 WESTOWN PKWY STE 236, WEST DES MOINES, IA 50266-6720
(515) 401-1950
(515) 401-1955
Mailing address
4201 WESTOWN PKWY STE 236, WEST DES MOINES, IA 50266-6720
(515) 401-1950
(515) 401-1955
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30516
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121764
—
IA
01
—
050038841
RAILROAD MEDICARE #
IA
01
—
30516
TRICARE PROVIDER #
IA
01
—
4290
MIDLANDS PROVIDER #
IA
01
—
51102
BLUE SHIELD PROVIDER #
IA
01
—
IA0167
JOHN DEERE PROVIDER #
IA
Enumeration date
12/20/2005
Last updated
06/03/2021
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