DR. BRUCE D LATHAM D.O.
NPI 1356302491
Family Medicine in Conway, NH

Active since March 29, 2006PECOS EnrolledCLIA 30D2202187 · Waiver
66 MAIN ST, CONWAY, NH 03818(603) 901-1042(603) 901-1092 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2024, Mar 7, 2023, Feb 15, 2021 and 2 more (5 updates tracked since 2020).

About Dr. Bruce D Latham D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRUCE D LATHAM D.O. (NPI 1356302491) is an individual family medicine provider in Conway, New Hampshire, licensed in New Hampshire (12799) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through November 24, 2026, and is affiliated with Memorial Hospital, The.

NPPES Registry Identity

NPI1356302491
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BRUCE D LATHAMCredential: D.O.
Location Address66 MAIN STConway, NH 03818-6163
Mailing AddressPo Box 123Conway, NH 03818-0123 · (603) 901-1042 · Fax (603) 901-1092
Fax(603) 901-1092
Sole ProprietorYes
Medical School CMSNova Southeastern Univ College Of Dental MedicineGraduated 1991
Enumeration DateMarch 29, 2006
Last NPPES UpdateJuly 1, 20245 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
NPI 1356302491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NH · 12799
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
66 MAIN ST, Conway, NH 03818

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Bruce D Latham D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305881467
PECOS Enrollment IDI20050621000125
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 30D2202187

Bruce D Latham, Do, PA · Conway, NH
Active · expires Nov 24, 2026
CLIA Number30D2202187
Laboratory TypePhysician Office
Certificate Effective DateNovember 25, 2024
Certificate Expiration DateNovember 24, 2026
Laboratory DirectorBruce D. Latham
Laboratory Phone(603) 323-6199
Laboratory LocationBruce D Latham, Do, PA66 Main St, Conway, NH 03818
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
107 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services17 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301307
Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County
Emergency services

Huggins Hospital

Critical Access Hospitals · Wolfeboro, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301312
Location240 South Main StreetWolfeboro, NH 03894 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03818 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
66 MAIN ST
CONWAY, NH 03818

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Latham's NPI number?

The NPI number for Bruce Latham is 1356302491. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Bruce Latham located?

Bruce Latham practices at 66 Main St, Conway, NH 03818. The listed phone number is (603) 901-1042.

What is Bruce Latham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bruce Latham enrolled in Medicare?

Yes. Bruce Latham is registered in the Medicare PECOS enrollment system.

Does Bruce Latham hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 30D2202187) is associated with this NPI, valid through November 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bruce Latham accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Bruce Latham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bruce Latham affiliated with any hospitals?

According to CMS data, Bruce Latham is affiliated with Memorial Hospital, The and Huggins Hospital.

When was this NPI record last updated?

The NPPES record for Bruce Latham was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.