Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Bruce E. Gollub, MD

Individual provider Family Medicine Physician · NPI 1508855917

Dr. Bruce E. Gollub, MD is registered under Family Practice in Twin Falls, Idaho. Graduated from University of Missouri, Columbia School of Medicine in 1979, 47 years ago. Practices with Ketchum Family Medicine, PLLC, a 2-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho and New Mexico.

Years since qualifying
47
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
ID, NM
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

775 Pole Line Rd W Ste 103
Twin Falls, ID 83301-5819
Phone: (208) 814-8375
Fax: (208) 814-8376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 660 2nd Ave. S. Apt A, Ketchum, ID 83340 — (208) 622-3180
  • 401 Botulph Ln, Santa Fe, NM 87505-6912 — (505) 983-8387

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-17332 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence 80-158 (NM)
General Practice Physician Taxonomy 208D00000X · Licence 80-158 (NM)

Record details

NPI number1508855917
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 18, 2005
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 1979 (47 years in practice)
Group practice Ketchum Family Medicine, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Removal of skin lesions 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients28
Services billed 31 a service is one billed item, such as a visit, a test or a procedure
Average patient age70

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Ketchum Family Medicine, PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Twin Falls