DR. BRUCE P CONMY MD NPI 1396795407

NPI Information

NPI: 1396795407
Provider Name: DR. BRUCE P CONMY, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
1027 WASHINGTON AVE
DETROIT LAKES, MN
ZIP 56501
Phone: (218) 847-5611
Get Directions

DR. Bruce P Conmy, MD is an obstetrics gynecology in Detroit Lakes, MN. The provider is 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 physicians and as a primary physician for women. DR. Bruce P Conmy, MD NPI is 1396795407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1027 WASHINGTON AVE
DETROIT LAKES, MN
ZIP 56501-409
Phone: (218) 847-5611
Fax: (218) 847-0881

The enumeration date for this NPI number is 5/11/2006 and was last updated on 12/10/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		4645	NORTH DAKOTA	No
2	207V00000X	Obstetrics & Gynecology		29133	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	614072600	MEDICAID	MINNESOTA
2	160002783	MEDICARE PIN	MINNESOTA
3	1396795407	MEDICAID	MINNESOTA
4	189P8C0	OTHER	MINNESOTA	BC BS
5	D25809	MEDICARE UPIN
6	8HBB40	MEDICARE ID-TYPE UNSPECIFIED
7	585240896131	OTHER	MINNESOTA	PREFERRED ONE
8	0703070	OTHER	MINNESOTA	MEDICA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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