NPI age
19 years
Enumerated 2006-08-05
● Active Type 2 · Organization
Bruce J Andersen MD PHD PA
Bruce J Andersen MD PHD PA is 1 of 69 neurological surgery organizations in Idaho.
Primary specialty
Neurological Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Andersen
Owner
Last NPPES update
2011-03-04
Source: monthly bulk 2026-05
How this organization compares
Across 69 active neurological surgery providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
6140 Curtisian Ave, Suite 400
Boise, ID 837048880
Mailing address
6140 Curtisian Ave, Suite 400
Boise, ID 837048880
Authorized official
Bruce J Andersen, MD PHD
Owner
📞 2083673500
Individual providers at this organization
12 individual providers on file at this primary practice address.
- Frederick Badke, M.D. Internal Medicine NPI 1407814411
- Michael Charme, MD Obstetrics & Gynecology NPI 1770510166
- Jessica Garner, CST Specialist/Technologist, Other NPI 1043480445
- Kelli Goold, CFA Specialist/Technologist, Other NPI 1154489110
- Michael Henbest, MD Neurological Surgery NPI 1184645517
- Timothy Johans, MD Neurological Surgery NPI 1730101148
- Martha Lund, MD Obstetrics & Gynecology NPI 1053356923
- Charisse MacK, PA Physician Assistant NPI 1801973615
- Lauren Musheno, CST Specialist/Technologist, Other NPI 1598968232
- Deborah Svangstu Nurse Practitioner NPI 1639282585
- Margaret Widener, CNM Advanced Practice Midwife NPI 1063454437
- Christian Zimmerman, MD Neurological Surgery NPI 1407874068
Specialties
-
Neurological Surgery PrimaryA 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,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 72504 | BLUE CROSS OF IDAHO |
| 01 (WA) | 145403 | WA DEPARTMENT OF LABOR |
| 05 (ID) | 805457400 | |
| 01 (ID) | 134024 | OMAP |
| 01 | 185529500 | US DEPARTMENT OF LABOR |
| 01 (ID) | 000010026334 | REGENCE BLUE SHIELD |
| 01 (ID) | 8J703 | BLUE CROSS OF IDAHO GROUP |
| 05 (ID) | 87732500 |
Practice context
Multi-provider organization. 12 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.