Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Bruce M Hansen, DO

Individual provider Anesthesiology Physician · NPI 1699941021

Mr. Bruce M Hansen, DO is an Anesthesiology in Boise, Idaho. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2005, 21 years ago. Practices with St Alphonsus Professional Medical Services LLC, a 123-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho, Indiana and Utah.

Years since qualifying
21
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
ID, IN, UT
In the registry since
2008
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1055 N Curtis Rd
Boise, ID 83706-1309
Phone: (208) 367-2559
Fax: (770) 701-6675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1717 Arlington Ave, Caldwell, ID 83605-4802 — (208) 455-3917
  • 801 N State St, Greenfield, IN 46140-1270 — (317) 802-6315

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence O-0636 (ID)
Anesthesiology Physician Taxonomy 207L00000X · Licence 02003137A (IN)
Anesthesiology Physician Taxonomy 207L00000X · Licence 9528888-1204 (UT)

Record details

NPI number1699941021
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 6, 2008
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing addressPo Box 190930, Boise, ID 83719-0930

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2005 (21 years in practice)
Group practice St Alphonsus Professional Medical Services Llc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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