Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRUCE A BOUMA, M.D.

Deactivated Sole Proprietor

Specialist · SPOKANE, WA

This NPI has been deactivated. The record was deactivated on March 23, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number: 1780676734
Provider Type: Individual
Gender: Male
NPI Issued: Aug 16, 2005 (0.6 yrs)
Last Updated: Jan 20, 2011
Deactivated: Mar 23, 2006
License: MD00019896 (WA)
Sole Proprietor: Yes

Practice Information

Address: 235 E ROWAN AVE

204

SPOKANE, WA, 992071240
Browse WA providers · Browse ZIP 99207
Phone: 5093443100
Fax: 5093443104
Primary Specialty: Specialist
174400000X

Other Specialist Providers in SPOKANE, WA

Name	Credential	NPI
DR. LARRY L MILSOW	MD	1760468581
MS. BARBARA JEAN STUEBING	CTRS	1962467100
MRS. SHEILA ANN MURPHY	CTRS	1023076189
CYNTHIA RAHN-MOORE	—	1073571931
MS. ELIZABETH ANN GILBERT	PT, MTC	1306894571
MS. SANDRA KAY NOLTING	PHYSICAL THERAPIST	1235186727

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.