DR. BRIAN C FULLER


Address: 4780 N Josey Ln, Carrollton, TX 75010-4615
Phone: 9724921334

DR. BRIAN C FULLER (NPI# 1396972386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396972386
Entity Type Individual
Full Name DR. BRIAN C FULLER
Credential M.D.
Practice Address 4780 N Josey Ln
Carrollton
TX 75010-4615
Practice Telephone 9724921334
Practice Fax Number 9724927909
Mailing Telephone 9724921334
Mailing Fax Number 9724927909
Enumeration Date 2009-06-17
Last Update Date 2020-06-29
NPI Deactivation Date 08/21/2019
NPI Reactivation Date 2019-09-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207X00000X Orthopaedic Surgery 25870 NE Allopathic & Osteopathic Physicians
Y 207XS0114X Orthopaedic Surgery
Specialization: Adult Reconstructive Orthopaedic Surgery
R8564 TX Allopathic & Osteopathic Physicians
N 207XS0114X Orthopaedic Surgery
Specialization: Adult Reconstructive Orthopaedic Surgery
036144916 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS 8LJ360 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1650 Cochrane Cir, Fort Carson, CO 809134613 7095262092
2535 Ira E Woods Ave, Grapevine, TX 76051 8174812121
4501 Heritage Trace Pkwy Ste 101, Fort Worth, TX 762448940 8174812121 8174884493

Other Providers BRIAN FULLER

NPI Name Taxonomy Address Enumeration
1760674725 Brian Scott Fuller Dentist 1920 S 1st St, 1509, Minneapolis, MN 55454-1055 2007-08-14
1316035280 Brian Christopher Fuller Pediatrics 2401 Village Professional Drive, Opelika, AL 36801-4702 2006-10-10
1073556544 Brian Jay Fuller Chiropractor 211 N Clinton St, Suite 2s, Chicago, IL 60661-1282 2006-06-13
1972562601 Brian George Fuller Physical Therapist 15 Porters Glen Pl, Durham, NC 27713-9164 2006-03-21
1730174160 Brian J Fuller Physical Therapist 4453 State Route 159, Chillicothe, OH 45601-8620 2005-09-12
1427540178 Brian Fuller Pediatrics 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 2018-05-30
1184915365 Brian Robert Fuller Pharmacist 105 Mall Blvd, Monroeville, PA 15146-2230 2011-04-22
1033409438 Brian Edward Fuller Psychiatry & Neurology 6107 Pinewood Rd, Nunnelly, TN 37137-2523 2011-04-19
1780973982 Brian J Fuller Family Medicine 6909 Good Samaritan Dr, Suite A, Cincinnati, OH 45247-5208 2011-03-29
1336473032 Brian K Fuller Case Manager/Care Coordinator 3211 Jefferson St, San Diego, CA 92110-4424 2009-09-28

Office Location

Street Address 4780 N JOSEY LN
City CARROLLTON
State TX
Zip Code 75010-4615

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780683490 Metrocrest Surgery Center Lp Clinic/Center 4780 N Josey Ln, Carrollton, TX 75010-4615 2005-07-15
1265998728 Carrollton Or Surgical Affiliates Pllc Physician Assistant 4780 N Josey Ln, Carrollton, TX 75010-4615 2019-02-20
1952874257 West Plano Surgery Specialist Pllc Physician Assistant 4780 N Josey Ln, Carrollton, TX 75010-4615 2019-01-09
1861969511 Megan Elizabeth Carter Physician Assistant 4780 N Josey Ln, Carrollton, TX 75010-4615 2018-10-31
1760965842 Holly Valle Specialist/Technologist, Other 4780 N Josey Ln, Carrollton, TX 75010-4615 2018-09-13
1366961104 Julianne Joy Kucera Physician Assistant 4780 N Josey Ln, Carrollton, TX 75010-4615 2017-09-13
1013305945 North Star Cn, Lp Clinic/Center 4780 N Josey Ln, Carrollton, TX 75010-4615 2014-12-30
1598106775 Orthopedic Partners for Surgical Advancement Physician Assistant 4780 N Josey Ln, Carrollton, TX 75010-4615 2013-07-16
1013354307 John Arvesen Orthopaedic Surgery 4780 N Josey Ln, Carrollton, TX 75010-4615 2013-05-28
1538409248 Chelsea Michelle Bardwell Physical Therapist 4780 N Josey Ln, Carrollton, TX 75010-4615 2013-02-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043782907 Timothy C. Pringle Md Pa Surgery 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 2018-12-17
1184106411 Cindy T Vu Occupational Therapy Assistant 1877 Cheyenne, Carrollton, TX 75010 2018-09-04
1639686256 Little Lantern Hospice LLC Hospice Care, Community Based 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 2018-01-04
1235681610 Kahini Shah Physical Therapist 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 2016-11-01
1881148849 Wais Azesh Dentist 1233 Apache Lake Dr, Carrollton, TX 75010 2016-08-08
1225485055 Julia Buckelew Physical Therapist 4100 Fairway Dr Ste 400, Carrollton, TX 75010 2016-05-23
1811355639 Fastpass Ucc, Pllc Clinic/Center 4228 N Josey Ln Ste 150, Carrollton, TX 75010 2016-02-08
1326404393 Miaojuan Li Nurse Practitioner 4100 Fairway Dr Ste 300, Carrollton, TX 75010 2016-01-06
1912376112 Envoy Hospice North LLC Hospice Care, Community Based 4040 Tx-121, Carrollton, TX 75010 2015-09-17
1932593936 Lifeway Hospice, LLC Hospice Care, Community Based 4040 State Highway 121, Suite 140, Carrollton, TX 75010 2015-03-27
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Taxonomy Information

Taxonomy Code 207XS0114X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Adult Reconstructive Orthopaedic Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598108797 Bone and Joint Surgery Associates, P.a. Orthopaedic Surgery 2122 Babcock Rd Ste 101, San Antonio, TX 78229-4411 2013-04-08
1578846002 David Peter Brigati Orthopaedic Surgery Health Transformation Building, 1601 Trinity Street, Austin, TX 78712 2011-09-21
1831496983 Gens Pierce Goodman Orthopaedic Surgery 4801 Alberta Ave Ste 101, Orthopaedic Surgery, El Paso, TX 79905-2707 2011-02-24
1699920256 Vijayaraj Kannan Orthopaedic Surgery 6550 Fannin Street Suite 2500, The Methodist Hospital,center for Orthopaedic Surgery, Houston, TX 77030 2008-11-24
1023260478 Jesse James Ferraris Exaltacion Orthopaedic Surgery 6550 Fannin St., Suite 2500 The Methodist Hospital, Center for Orthopaed, Houston, TX 77030 2008-10-16
1043483134 Michael C Cusick Orthopaedic Surgery 601 Rockmead Dr Ste 100, Kingwood, TX 77339-2107 2008-04-09
1972787927 Farbod Malek Orthopaedic Surgery 2122 Babcock Rd, Suite 101, San Antonio, TX 78229-4411 2007-12-27
1003018086 Mario Joseph Quesada Orthopaedic Surgery 1201 E Alton Gloor Blvd, Suite B, Brownsville, TX 78526-3831 2007-06-01
1750400636 Louise Marie Brooker Orthopaedic Surgery 4514 Cornell St, Suite B, Amarillo, TX 79109-5800 2007-03-29
1457429375 The San Antonio Orthopaedic Group, LLP Orthopaedic Surgery 19138 Us Highway 281 N Ste 100, San Antonio, TX 78258-4988 2006-11-30
Find all providers with the same taxonomy

Competitor

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City CARROLLTON
Zip Code 75010

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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