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

Mr. Brett Wallace Bulloch, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1104055821

Mr. Brett Wallace Bulloch, CRNA is a Certified Registered Nurse Anesthetist in St George, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2009
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

754 S Main St Ste 5
St George, UT 84770-5519
Phone: (435) 652-1445
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4928514-4406 (UT)

Record details

NPI number1104055821
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJuly 2, 2009
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024

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