BRUCE R CROFFY


Address: 3000 E Pine Ave, Meridian, ID 83642-5995
Phone: 2082863762

BRUCE R CROFFY (NPI# 1659492809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659492809
Entity Type Individual
Full Name BRUCE R CROFFY
Credential M.D.
Practice Address 3000 E Pine Ave
Meridian
ID 83642-5995
Mailing Address 2145 E Trail Blazer Dr
Meridian
ID 83646-5255
Practice Telephone 2082863762
Mailing Telephone 2086390415
Enumeration Date 2007-04-03
Last Update Date 2009-08-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
49473 MA Allopathic & Osteopathic Physicians

Office Location

Street Address 3000 E PINE AVE
City MERIDIAN
State ID
Zip Code 83642-5995

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NPI Name Taxonomy Address Enumeration
1174145684 Ikdo South Meridian LLC Dentist 3839 E Amity Rd, Meridian, ID 83642 2020-05-07
1073133328 Prescription Pad LLC Pharmacy 885 S Vanguard Way, Meridian, ID 83642 2020-04-16
1609412683 Meridian Advanced Psychiatry, LLC Psychiatry & Neurology 1672 S Woodsage Ave., Meridan, ID 83642 2019-11-25
1194378927 Sergey Tsema Occupational Therapist 1259 E Pisa St, Meridian, ID 83642 2019-07-21
1003478629 Chris R Jackson Dentist Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 2019-07-03
1285293118 Morgan Family Medicine Nurse Practitioner 1660 S Woodsage Avenue, Meridian, ID 83642 2019-06-13
1033772793 Nugen Healthcare, Pllc Registered Nurse 2177 S Spoonbill Ave, Meridian, ID 83642 2019-04-18
1811471790 Courtney Crossland Physician Assistant 4949 S Hillsdale Ave., Meridian, ID 83642 2018-09-18
1841771938 Katelyn Perry Counselor 2068 S. Eagle Rd., Meridian, ID 83642 2018-08-27
1114406204 Gem Prep: Meridian LLC Case Management 2750 E.gala Ct., Meridian, ID 83642 2018-08-09
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558774174 Stephen Robert Chow Internal Medicine 1314 19th Ave Dept Of, Meridian, MS 39301-4116 2014-06-11
1649516212 Theodore Weldon Bohlman Internal Medicine 8820 Stewart Rd, Meridian, ID 83642-7226 2012-12-29
1376040121 Anderson Regional Medical Center Internal Medicine 2124 14th St, Meridian, MS 39301-4040 2018-04-09
1194198333 Akshay K. Gupta, M.d., Chartered Internal Medicine 2235 E Gala St, Meridian, ID 83642-8026 2015-11-10
1699150623 Brian Story Md Chartered Internal Medicine 2235 E Gala St, Meridian, ID 83642-8026 2015-07-20
1275863243 John T. Witte, M.d., P.a. Internal Medicine 2235 E Gala St, Meridian, ID 83642-8026 2010-01-13
1811123961 Kirsten J Morigeau Internal Medicine 2235 E Gala St, Meridian, ID 83642-8026 2009-06-03
1568697894 Chad A. Morse, M.d., Chartered Internal Medicine 2235 E Gala St, Meridian, ID 83642-8026 2009-05-15
1336302223 Jermaine Compton Ralph Internal Medicine 1314 19th Ave, Meridian, MS 39301-4116 2008-07-09
1851551089 Brian T Story Internal Medicine 2235 E Gala St, Meridian, ID 83642-8026 2008-06-11
Find all providers in MERIDIAN

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City MERIDIAN
Zip Code 83642

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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