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Chuck B Fuller, PA-C

Physician Assistant in Twin Falls, ID · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124015102

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Registry record

Entity type Individual (Type 1)
Name Chuck B Fuller
Credential PA-C
Sex Male
Practice address 660 Shoshone St E, Suite 130, Twin Falls, ID, 83301
Phone (208) 732-3400
Fax (208) 732-3300
Enumeration date Oct 4, 2005
Last updated in NPPES Jan 10, 2008

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA-499 (ID) Primary

Other identifiers

Identifier Type State Issuer
000010147741 Other ID REGENCE BLUE SHIELD IND #
PAQR4 Other ID BLUE CROSS IND #

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Chuck Fuller?
The National Provider Identifier (NPI) for Chuck Fuller is 1124015102, a Type 1 (individual) record in the CMS NPPES registry.
Where does Chuck Fuller practice?
The practice location on file with NPPES is in Twin Falls, ID. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-01-10.