DR. BRIAN FULLER (NPI# 1427540178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427540178 |
| Entity Type | Individual |
| Full Name | DR. BRIAN FULLER |
| Credential | DO |
| Practice Address |
1200 S Cedar Crest Blvd Allentown PA 18103-6202 |
| Mailing Address |
45 N 6th St Apt 295 Allentown PA 18101-1101 |
| Practice Telephone | 6104028000 |
| Mailing Telephone | 8147716774 |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-05-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | OT018378 | PA | Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
| 1396972386 | Brian C Fuller | Orthopaedic Surgery | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2009-06-17 |
| Street Address |
1200 S CEDAR CREST BLVD |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123094 | Michael Joseph Patton | Registered Nurse | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2005-06-09 |
| 1144820457 | Yunier Ramirez | Registered Nurse | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-10-27 |
| 1881293751 | Meghan Elizabeth Paradise | Physician Assistant | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-10-22 |
| 1093314007 | Abbigail Nicole Reimer | Physician Assistant | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-10-21 |
| 1407455397 | Veronica Gisondi | Surgery | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-10-21 |
| 1194324582 | Erin Collington | Registered Nurse | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-10-19 |
| 1770198079 | Sarah Knop | Physician Assistant | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-09-14 |
| 1922611185 | Tsneem Hamed Salem Mbydeen | Student in an Organized Health Care Education/Training Program | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-08-27 |
| 1255944732 | Kamoliddin Khodjaev | Registered Nurse | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-08-25 |
| 1881212918 | Cleo Zarina Alejo Reyes | Student in an Organized Health Care Education/Training Program | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659808640 | Rachel Robertson | Pediatrics | 1200 S Cedar Crest Blvd Fl 6, Allentown, PA 18103-6202 | 2017-05-22 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1942612833 | Swati R Chanchani | Pediatrics | 932 N 32nd St, Allentown, PA 18104-3406 | 2014-05-27 |
| 1326288796 | Stephanie Rita Straka | Pediatrics | 501 Cetronia Rd Ste 115, Allentown, PA 18104-9569 | 2009-02-25 |
| 1538315783 | John Edward Kenvin | Pediatrics | 1433 Cedarwood Rd, Allentown, PA 18104-2111 | 2008-08-07 |
| 1265614457 | Charles Francis Kelley Jr. | Pediatrics | 1087 Oldstone Rd, Allentown, PA 18103-4686 | 2007-11-29 |
| 1952472045 | Debra Esernio-jenssen | Pediatrics | 17th & Chew, Children's Clinic - Child Advocacy, Allentown, PA 18105-7017 | 2006-11-13 |
| 1962599415 | Ophira Silbert | Pediatrics | Lehigh Valley Hospital, Cedar Crest & I-78, Division of Neonatology, Allentown, PA 18105-1556 | 2006-10-06 |
| 1588670418 | Charles Franklin Smith Sr. | Pediatrics | 1450 Wethersfield Dr, Allentown, PA 18104-1956 | 2006-07-31 |
| 1851323224 | Richard Mazzaccaro | Pediatrics | Cedar Crest Blvd & I-78, Allentown, PA 18103 | 2006-07-07 |
| Find all providers in ALLENTOWN | ||||
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| 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.