Family Medicine
Dr. BRUCE GOLLUB M.D.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1508855917 · enumerated 2005-10-18 · record updated 2023-11-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 190 E BANNOCK ST, BOISE, ID, 83712-6241 Google Maps Apple Maps OpenStreetMap
- Practice location 775 POLE LINE RD W STE 103, TWIN FALLS, ID, 83301-5819 (208) 814-8375 Fax (208) 814-8376 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · License 80-158 NM
- General Practice 208D00000X · License 80-158 NM
- Family Medicine 207Q00000X · Primary · License M-17332 ID
In this directory
Locations and evidence
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Practice location
TWIN FALLS, ID, 833015819
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.