P Praxis·MD
● Active Type 1 · Individual

DR. Bruce Joseph Siedlecki, M.D.

Obstetrics & Gynecology·Mtn. Home, ID· NPI 1285628156 · Enumerated 2005 · 20 years on NPI
Siedlecki is 1 of 1 obstetrics & gynecology providers in Mtn. Home and 1 of 228 in Idaho.
NPI age
20 years
Enumerated 2005-09-07
Primary specialty
Obstetrics & Gynecology
Licensed in
TN
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org

How this provider compares

Across 228 active obstetrics & gynecology providers in Idaho.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
0
42% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-09Enumerated in NPPES
2005 2026

Where they practice

Practice location
Mtn.home Aif Force Base, Mdos
Mtn. Home, ID 83647
📞 2088287567
Mailing address
1050 Nw Bluegrass Cir
Mtn Home, ID 836471544
📞 2088287567

Specialties

  • Obstetrics & Gynecology Primary
    An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
    TN license #MD25309 taxonomy 207V00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 228 Obstetrics & Gynecology providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related