NPI age
18 years
Enumerated 2008-02-04
● Active
Type 1 · Individual
Brian C Fulks, MD
Fulks is 1 of 10 pediatrics providers in Pocatello and 1 of 252 in Idaho.
Primary specialty
Pediatrics
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 252 active pediatrics providers in Idaho.
NPI age
18 years
≈ at median (18 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-02Enumerated in NPPES
2008
2026
Where they practice
Practice location
1151 Hospital Way, Bldg F
Pocatello, ID 83201
Mailing address
1151 Hospital Way, Bldg F
Pocatello, ID 83201
Specialties
-
Pediatrics PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 808342900 |
Practice context
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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