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

Dr. Gary Michael Ullery, DO

Individual provider Pediatrics Physician · NPI 1164785382

Dr. Gary Michael Ullery, DO is an Internal Medicine in Blackfoot, Idaho. Qualified in 2012, 14 years ago. Practices with Bmh Inc, a 136-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
14
Licensed in
ID
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

98 Poplar St Fl 2
Blackfoot, ID 83221-1758
Phone: (208) 782-2380
Fax: (208) 785-3504
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence O-0906 (ID)
Pediatrics Physician Taxonomy 208000000X · Licence O-0906 (ID)

Record details

NPI number1164785382
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 21, 2012
Last updated in NPPESJanuary 3, 2020
Certification dateJanuary 3, 2020
Mailing address98 Poplar St Fl 2, Blackfoot, ID 83221-1758

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Bmh Inc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Blackfoot