Organization
BRUCE J ANDERSEN MD PHD PA
Active
Organization
BRUCE J ANDERSEN MD PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE J ANDERSEN MD PHD (OWNER)
(208) 367-3500
Entity
Organization
Contact information
Practice address
6140 CURTISIAN AVE, SUITE 400, BOISE, ID 83704-8880
(208) 367-3500
(208) 367-2968
Mailing address
6140 CURTISIAN AVE, SUITE 400, BOISE, ID 83704-8880
(208) 367-3500
(208) 367-2968
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
M7767
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010026334
REGENCE BLUE SHIELD
ID
01
—
134024
OMAP
ID
01
—
145403
WA DEPARTMENT OF LABOR
WA
01
—
185529500
US DEPARTMENT OF LABOR
—
01
—
72504
BLUE CROSS OF IDAHO
ID
05
—
805457400
—
ID
05
—
87732500
—
ID
01
—
8J703
BLUE CROSS OF IDAHO GROUP
ID
Enumeration date
08/05/2006
Last updated
03/04/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up