Dr. Bruce A Bouma , MD
Specialist • Spokane, WA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bruce Bouma has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Bruce Bouma, MD was a registered Specialist practicing in Spokane, WA. Throughout an active medical career spanning 1 years, Dr. Bouma provided care at the practice location at 235 E ROWAN AVE until profile deactivation on 2006-03-23.
Practice Location & Contact Primary Location
235 E Rowan Ave
204
Spokane, WA 992071240
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Spokane, WA
Practicing in Spokane, WA (2751 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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Practice Associates & Co-Workers
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Surgery - Vascular Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
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Registered at 235 E ROWAN AVE, 204, SPOKANE, WA 992071240 (Tel: 5093443100)
Registered at 235 E ROWAN AVE, 204, SPOKANE, WA 992071240 (Tel: 5093443100)
Recorded as BRUCE BOUMA, M.D.
Specialist (License #MD00019896 in WA)
Record officially reactivated for active practice on March 27, 2006
Record deactivated on March 23, 2006
First registered as active Individual Practitioner in NPPES Database.
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Mailing Address
235 E Rowan Ave, 204
Spokane, WA 992071240
Phone: 5093443100
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