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

Dr. Christopher J Bullard, MD

Individual provider Internal Medicine Physician · NPI 1306379052

Dr. Christopher J Bullard, MD is an Internal Medicine in Moscow, Idaho. Qualified in 2017, 9 years ago. Practices with Gritman Medical Center Inc, a 14-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
9
Licensed in
ID
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

719 S Main St
Moscow, ID 83843-3041
Phone: (208) 883-1152
Fax: (208) 882-1486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence M-15235 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306379052
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2017
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024
Mailing addressPo Box 8007, Moscow, ID 83843-0507

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Gritman Medical Center Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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