Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Lorin Bullock, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1548600745

Brian Lorin Bullock, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Lewiston, Idaho. Qualified in 2013, 13 years ago. Practices with Nph Anesthesia of Utah LLC, a 93-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho, North Carolina and Utah.

Years since qualifying
13
Licensed in
ID, NC, UT
In the registry since
2013
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

415 6th St
Lewiston, ID 83501-2431
Phone: (239) 896-3934
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 131 Medical Park Rd, Mooresville, NC 28117-8522 — (704) 662-0876
  • 170 N 1100 E, American Fork, UT 84003-2096 — (239) 896-3934

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 6631838-4406 (UT)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 261722 (NC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RNA-932A (ID)

Record details

NPI number1548600745
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJuly 2, 2013
Last updated in NPPESNovember 15, 2021
Certification dateNovember 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Nph Anesthesia Of Utah Llc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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