MR. NICHOLAS FREEMAN BULLOCK
NPI 1508299348
Nurse Practitioner - Family in Pocatello, ID
About Mr. Nicholas Freeman Bullock NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. NICHOLAS FREEMAN BULLOCK (NPI 1508299348) is an individual family provider in Pocatello, Idaho, licensed in Idaho (NP-1308A) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Nicholas Freeman Bullock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
POCATELLO, ID 83201
POCATELLO, ID 83201
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 Nicholas Bullock's NPI number?
The NPI number for Nicholas Bullock is 1508299348. It was assigned to this individual provider in the NPPES registry on August 15, 2013.
Where is Nicholas Bullock located?
Nicholas Bullock practices at 777 Hospital Way, Pocatello, ID 83201. The listed phone number is (208) 239-1000.
What is Nicholas Bullock's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicholas Bullock enrolled in Medicare?
Yes. Nicholas Bullock is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Nicholas Bullock was last updated on August 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Nicholas Freeman Bullock · NPI 1508299348
Family physician in Pocatello, Idaho. Individual provider, active in the CMS NPPES registry since August 15, 2013.
## Identity
- **NPI:** 1508299348 (Entity type: Individual)
- **Enumerated:** August 15, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP-1308A (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 777 HOSPITAL WAY, Pocatello, ID 83201-5175
- **Phone:** (208) 239-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 15, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1508299348) · Data from the CMS NPPES public registry.