MD Bruce J Andersen, NPI 1063420792
Neurological Surgery Physician in Boise, ID, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1063420792 |
| NPI Entity Type | Individual |
| Provider Name | MD Bruce J Andersen |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1072 N Liberty St, Suite 303, Boise, ID, US |
| Provider Mailing Address | 3340 E Goldstone Way, Meridian, ID, US, 836421026 |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Neurological Surgery Physician |
| Classification | |
| Group | |
| License No. | M-7767 |
| License State | ID |
| Description | 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 supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| M7767 | ID | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 134024 | OR | OMAP | 01 |
| 185529500 | US DEPARTMENT OF LABOR | 01 | |
| 805457400 | ID | MEDICAID | 05 |
| 000010026334 | ID | REGENCE BLUE SHIELD | 01 |
| 145403 | WA | WA DEPARTMENT OF LABOR | 01 |
| 72504 | BLUE CROSS OF IDAHO | 01 | |
| 807732500 | ID | MEDICAID | 05 |
| 8J703 | ID | BLUE CROSS OF IDAHO GROUP | 01 |
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MRS. RPT Kimberly W Schwarze Individual |
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