IndividualActive
Bruce Andersen, MD
NPI 1063420792 · Neurological Surgery Physician · Boise, ID
Provider details
- NPI number
- 1063420792
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M7767 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1072 N Liberty St
Suite 303
Boise, ID 83704-2800
Phone: (208) 367-4035
Fax: (208) 367-7111
Approximate (ZIP-level) locationGet directions
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Additional practice locations (1)
- 3931 Louisiana Ave SSt Louis Park, MN 55426-5000Phone: (952) 993-3230Fax: (952) 993-1748
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2023-02-17
- Certified
- 2023-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.