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Contact Information

BRUCE J WATKINS, MD
1542 ELK CREEK DR
IDAHO FALLS, ID83404-8322
 Phone: 844-919-4263
 Fax: 833-513-0980
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BRUCE J WATKINS · (Male)

NPI # 1326240425
Status Active
Credentials MD
Entity Individual
Enumeration date 06/01/2007
Last updated 03/10/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ID License # M-13763
  • SD License # 8873
  • UT License # 80664388017
  • WI License # 48738-020
  • IA Medicaid 1326240425
  • ID Medicaid 1326240425
  • NE Medicaid 1326240425
  • SD Medicaid 1326240425
Hospital affiliation(s)
  • BINGHAM MEMORIAL HOSPITAL - (Critical Access)
    98 POPLAR STREET
    BLACKFOOT, ID 83221
  • MADISON MEMORIAL HOSPITAL - (Acute Care)
    255 N 3RD E
    REXBURG, ID 83440
  • MOUNTAIN VIEW HOSPITAL - (Acute Care)
    2325 CORONADO STREET
    IDAHO FALLS, ID 83404
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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