Individual
DR. BRUCE MICHAEL CONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0037013
MD
Other
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
Enumeration date
08/03/2005
Last updated
03/16/2023
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