P Praxis·MD
● Active Type 1 · Individual

MR. Bruce William Demko, CRNA

Nurse Anesthetist, Certified Registered·Ponderay, ID· NPI 1780651539 · Enumerated 2006 · 20 years on NPI
Demko is 1 of 6 nurse anesthetist, certified registered providers in Ponderay and 1 of 575 in Idaho.
NPI age
20 years
Enumerated 2006-03-01
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-04-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 575 active nurse anesthetist, certified registered providers in Idaho.

NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-03Enumerated in NPPES
2006 2026

Where they practice

Practice location
30544 Highway 200
Ponderay, ID 838525005
📞 2082558013
Mailing address
Po Box 591
Sagle, ID 83860
📞 2082653534fax 2082653534

Specialties

  • Nurse Anesthetist, Certified Registered Primary
    (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
    ID license #RNA491AID license #N30209 taxonomy 367500000X

Identifiers

TypeValueNotes
05 (ID) 805855300

Practice context

Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.

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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.

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