Brian Bullock, CRNA
NPI 1548600745 · Certified Registered Nurse Anesthetist · Lewiston, ID
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brian Bullock, CRNA is a Certified Registered Nurse Anesthetist provider in Lewiston, ID (NPI 1548600745).
Provider details
- NPI number
- 1548600745
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 261722 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 131 Medical Park RdSuite 308Mooresville, NC 28117-8522Phone: (704) 662-0876Fax: (704) 662-0875
- 170 N 1100 EAmerican Fork, UT 84003-2096Phone: (239) 896-3934
Registry dates
- Enumerated
- 2013-07-02
- Last updated
- 2021-11-15
- Certified
- 2021-11-15
Frequently asked questions
- What is Brian Bullock's NPI number?
- Brian Bullock's National Provider Identifier (NPI) is 1548600745, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brian Bullock's specialty?
- Brian Bullock is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Brian Bullock located?
- Brian Bullock's practice location on file with NPPES is 415 6th St, Lewiston, ID 83501-2431.
- What is Brian Bullock's phone number?
- The practice phone number listed in the NPPES registry for Brian Bullock is (239) 896-3934.
- Does Brian Bullock accept Medicare?
- Brian Bullock is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brian Bullock's NPI active?
- Yes — Brian Bullock's NPI (1548600745) is active in the NPPES registry as of the last update on 2021-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.