Family Medicine
SHAY BULLOCK NP-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1366101743 · enumerated 2021-12-13 · record updated 2022-07-20. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 33 N. MISSION RD, FORT HALL, ID, 83203 (208) 380-9727 Google Maps Apple Maps OpenStreetMap
- Mailing address 33 N. MISSION RD, FORT HALL, ID, 83203-8016 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License 812099 NV
In this directory
Locations and evidence
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Practice location
FORT HALL, ID, 83203
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.