P Praxis·MD
● Active Type 1 · Individual

DR. Christopher J Bullard, MD

Internal Medicine·Moscow, ID· NPI 1306379052 · Enumerated 2017 · 9 years on NPI
Bullard is 1 of 11 internal medicine providers in Moscow and 1 of 504 in Idaho.
NPI age
9 years
Enumerated 2017-04-10
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-07-19
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
9 years
↓ 7 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 · 2017 → 2026

2017-04Enumerated in NPPES
2017 2026

Where they practice

Practice location
719 S Main St
Moscow, ID 838433041
📞 2088831152fax 2088821486
Mailing address
Po Box 8007
Moscow, ID 838430507
📞 2088824511fax 2088831853

Specialties

  • Internal Medicine Primary
    A 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,...
    ID license #M-15235 taxonomy 207R00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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