IndividualActive
Brian Fulks, MD
NPI 1730367517 · Pediatrics Physician · Pocatello, ID
Provider details
- NPI number
- 1730367517
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M-10672 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1151 Hospital Way
Bldg F
Pocatello, ID 83201
Phone: (208) 232-1443
Fax: (208) 239-3434
Approximate (ZIP-level) locationGet directions
Mailing address
1151 Hospital Way
Pocatello, ID 83201
Registry dates
- Enumerated
- 2008-02-04
- Last updated
- 2025-03-17
- Certified
- 2025-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.