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MR. BRETT WALLACE BULLOCH CRNA
NPI 1104055821
Nurse Anesthetist, Certified Registered in St George, UT

Active since July 02, 2009
754 S MAIN ST STE 5, ST GEORGE, UT 84770(435) 652-1445 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Brett Wallace Bulloch Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRETT WALLACE BULLOCH CRNA (NPI 1104055821) is an individual nurse anesthetist, certified registered in St George, Utah, licensed in Utah (4928514-4406) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1104055821
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. BRETT WALLACE BULLOCHCredential: CRNA
Location Address754 S MAIN ST STE 5St George, UT 84770-5519
Mailing Address1698 S 1000 ESt George, UT 84790-2271 · (435) 219-2100
Phone(435) 652-1445
Sole ProprietorYes
Enumeration DateJuly 2, 2009
Last NPPES UpdateAugust 22, 2024
NPPES CertifiedAugust 22, 2024
✔ NPI 1104055821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in UT · 4928514-4406
Definition

(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 management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

754 S MAIN ST STE 5, St George, UT 84770
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRECISION DENTAL SPECIALTIES PLLC
Dentist (Oral and Maxillofacial Surgery)
754 S MAIN ST STE 5
ST GEORGE, UT 84770
Washington County (435) 652-1445

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brett Bulloch's NPI number?

The NPI number for Brett Bulloch is 1104055821. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Where is Brett Bulloch located?

Brett Bulloch practices at 754 S Main St Ste 5, St George, UT 84770. The listed phone number is (435) 652-1445.

What is Brett Bulloch's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Brett Bulloch was last updated on August 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.