Bruce Gollub, M.D.
NPI 1508855917 · Family Medicine Physician · Twin Falls, ID
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bruce Gollub, M.D. is a Family Medicine Physician provider in Twin Falls, ID (NPI 1508855917).
Provider details
- NPI number
- 1508855917
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 80-158 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 660 2nd Ave. S. Apt aKetchum, ID 83340Phone: (208) 622-3180Fax: (833) 795-1981
- 401 Botulph LnSanta Fe, NM 87505-6912Phone: (505) 983-8387Fax: (505) 820-2733
Registry dates
- Enumerated
- 2005-10-18
- Last updated
- 2023-11-30
- Certified
- 2023-11-30
Frequently asked questions
- What is Bruce Gollub's NPI number?
- Bruce Gollub's National Provider Identifier (NPI) is 1508855917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bruce Gollub's specialty?
- Bruce Gollub is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Bruce Gollub located?
- Bruce Gollub's practice location on file with NPPES is 775 Pole Line Rd W Ste 103, Twin Falls, ID 83301-5819.
- What is Bruce Gollub's phone number?
- The practice phone number listed in the NPPES registry for Bruce Gollub is (208) 814-8375.
- Does Bruce Gollub accept Medicare?
- Bruce Gollub is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bruce Gollub's NPI active?
- Yes — Bruce Gollub's NPI (1508855917) is active in the NPPES registry as of the last update on 2023-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.