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

Mr. Chase Brandon Fullerton, PA

Individual provider Physician Assistant · NPI 1326391160

Mr. Chase Brandon Fullerton, PA is a Physician Assistant in Salt Lake City, Utah. Graduated from University of South Alabama College of Medicine in 2014, 12 years ago. Practices with Pocatello Health Services LLC, a 178-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
12
Trained at
University of South Alabama College of Medicine
Licensed in
UT
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10438332-1206 (UT)

Record details

NPI number1326391160
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 17, 2012
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Pocatello Health Services Llc — 178 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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