Provider Type Icon

BRUCE C MCCOMAS M. D. P. A. NPI 1407894041


NPI Information

NPI: 1407894041
Provider Name: BRUCE C MCCOMAS, M. D., P. A.

Doing Business As: SOUTHERN IDAHO VEIN CARE CENTER

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
775 POLE LINE RD W
SUITE 212
TWIN FALLS, ID
ZIP 83301
Phone: (208) 814-8400
Get Directions

BRUCE C MCCOMAS, M. D., P. A. is a surgery in Twin Falls, ID. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. BRUCE C MCCOMAS, M. D., P. A. NPI is 1407894041. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southern Idaho Vein Care Center.

The provider's business location address is:

775 POLE LINE RD W
SUITE 212
TWIN FALLS, ID
ZIP 83301-814
Phone: (208) 814-8400
Fax: (208) 734-3045

The provider's authorized official is Bruce C Mccomas .
The authorized official title is Physician and has the following contact phone number (208) 734-3596.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 3/9/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryM5070IDAHOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1020048945OTHERIDAHORR MEDICARE
21118841MEDICARE ID-TYPE UNSPECIFIEDIDAHOMEDICARE NUMBER
3000369200MEDICAIDIDAHO

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.