Brian C Fulks
MD | Pediatrics | Male
Brian C Fulks, MD is a Pocatello, Idaho based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Brian C Fulks is
1151 Hospital Way, Bldg F, Pocatello, Idaho - 83201. He can be contacted on phone at
208-232-1443 and fax number 208-239-3434.
Brian C Fulks is a sole proprietor of his business.
NPI number (Unique professional ID) for Brian C Fulks is
1730367517 which was assigned by NPPES on 04 Feb, 2008 and it was last updated on 21 Jul, 2022.
Brian C Fulks license number is
M-10672 for Pediatrics (208000000X) in Idaho.
Brian C Fulks is a pediatrician who 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 of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Brian C Fulks basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Brian C Fulks |
|---|
| Credential : | MD |
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| Gender : | Male |
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Business Address:
Brian C Fulks address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1151 Hospital Way, Bldg F
Pocatello, ID, 83201
United States |
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| Phone Number : | 208-232-1443 |
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| Fax Number : | 208-239-3434 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1730367517 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Feb, 2008 |
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| Last Updated On : | 21 Jul, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brian C Fulks are as mentioned. Primary taxonomy code for Brian C Fulks, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | M-10672 | ID |
Legacy Identifiers:
Other legacy medical identifiers of Brian C Fulks such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 808342900 | MEDICAID | ID | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1151 Hospital Way, Bldg F
Pocatello, ID, 83201
United States |
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| Phone Number : | 208-232-1443 |
|---|
| Fax Number : | 208-239-3434 |
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Business Location:
Patients can refer following map for directions to
Brian C Fulks practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.