MR. BRETT WALLACE BULLOCH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104055821

MR. BRETT WALLACE BULLOCH (CRNA) is a healthcare provider. based in St george, Utah. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 4928514-4406 (UT). The NPI Number for MR. BRETT WALLACE BULLOCH (CRNA) is 1104055821

Main info

Male
Sole Proprietor
Name
MR. BRETT WALLACE BULLOCH (CRNA)
NPI
1104055821
Phone
(435) 219-2100
Address
1698 S 1000 E
Enumeration Date
2 July 2009
Last Update Date
22 August 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for MR. BRETT WALLACE BULLOCH (CRNA)

  • 1698 S 1000 E

    ST GEORGE, UT 847902271

    Phone: (435) 219-2100

    Type: Mailing

  • 754 S MAIN ST STE 5

    ST GEORGE, UT 847705519

    Phone: (435) 652-1445

    Type: Location

  • 151, West 200 North, Vernal, Uintah County, Utah, 84078, United States

    VERNAL, UT 840781908

    Phone: (435) 789-3342

    Type: Location

  • 224 E 500 S UNIT B

    VERNAL, UT 840783252

    Phone: (435) 789-5250

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84790)

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Reviews

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Frequently asked questions

What number should I use to identify MR. BRETT WALLACE BULLOCH (CRNA) for billing?
Administrative and clinical systems typically use NPI 1104055821 for MR. BRETT WALLACE BULLOCH (CRNA).
Is MR. BRETT WALLACE BULLOCH (CRNA) currently accepting referrals based on NPI status?
Registry metadata lists MR. BRETT WALLACE BULLOCH (CRNA) as active.
Which specialty label fits MR. BRETT WALLACE BULLOCH (CRNA)?
NPPES ties MR. BRETT WALLACE BULLOCH (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. BRETT WALLACE BULLOCH (CRNA)?
MR. BRETT WALLACE BULLOCH (CRNA) shows a connection to St George, Utah in registry-derived data.
Can I export MR. BRETT WALLACE BULLOCH (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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