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

Mr. Brian D Fuller, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1063432359

Mr. Brian D Fuller, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Boise, Idaho. Qualified in 2006, 20 years ago. Practices with Anesthesia Associates of Coeur D Alene PLLC, a 58-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
20
Licensed in
ID
In the registry since
2006
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

111 W State St
Boise, ID 83702-6127
Phone: (208) 336-0895
Fax: (208) 338-1796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RNA658A (ID)

Record details

NPI number1063432359
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Anesthesia Associates Of Coeur D Alene Pllc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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