BRUCE J. SIEDLECKI M.D. – NPI #1285628156
Obstetrics & Gynecology

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.

BRUCE SIEDLECKI is a physician located in MOUNTAIN HOME, ID. NPPES has assigned the NPI number 1285628156 to BRUCE SIEDLECKI on September 07, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRUCE SIEDLECKI below.

NPI Profile for
BRUCE J. SIEDLECKI

NPI Number
1285628156
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRUCE J. SIEDLECKI
Credentials
M.D.
Primary location
MTN.HOME AIF FORCE BASE
MDOS
MOUNTAIN HOME, ID 83647
Phone: (208) 828-7567 Fax:
Mailing address
1050 NW BLUEGRASS CIR
MTN HOME, ID 83647-1544
Phone: (208) 828-7567 Fax:
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)
TN MD25309

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.