NPI age
12 years
Enumerated 2013-07-02
● Active
Type 1 · Individual
Brian Lorin Bullock, CRNA
Bullock is 1 of 13 nurse anesthetist, certified registered providers in Lewiston and 1 of 575 in Idaho.
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 2 subspecialties
Licensed in
UT, NC, ID
3 states
Status
Active
No deactivations on record
Last NPPES update
2021-11-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 575 active nurse anesthetist, certified registered providers in Idaho.
NPI age
12 years
↓ 3 yr below median (15 yr)
State licenses
3 states
Top 81% — 18% of peers are multi-state
Subspecialties
0
32% of peers hold subspecialties
NPI lifetime · 2013 → 2026
2013-07Enumerated in NPPES
2013
2026
Where they practice
Practice location
415 6th St
Lewiston, ID 835012431
Mailing address
1827 Birch Dr
Lewiston, ID 835016060
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
131 Medical Park Rd, Suite 308
Mooresville, NC 281178522
Location 3
170 N 1100 E
American Fork, UT 840032096
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
Practice context
Part of a multi-provider practice. 119 other active providers share this practice address in NPPES.
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