NPI age
13 years
Enumerated 2012-06-21
● Active
Type 1 · Individual
DR. Gary Michael Ullery, D.O.
Ullery is 1 of 3 internal medicine providers in Blackfoot and 1 of 504 in Idaho.
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-01-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 504 active internal medicine providers in Idaho.
NPI age
13 years
↓ 3 yr below median (16 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
1
In the 44% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-06Enumerated in NPPES
2012
2026
Where they practice
Practice location
98 Poplar St Fl 2
Blackfoot, ID 832211758
Mailing address
98 Poplar St Fl 2
Blackfoot, ID 832211758
Specialties
-
Internal Medicine PrimaryA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
-
PediatricsA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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