DR. BRANT R. FULMER (NPI# 1477521433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477521433 |
| Entity Type | Individual |
| Full Name | DR. BRANT R. FULMER |
| Credential | M.D. |
| Practice Address |
100 North Academy Ave. Danville PA 17822 |
| Practice Telephone | 5702716328 |
| Practice Fax Number | 5702716955 |
| Mailing Telephone | 5702716144 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | ME 104664 | FL | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | MD072746L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001857502 | 05 |
| Street Address |
100 NORTH ACADEMY AVE. |
| City | DANVILLE |
| State | PA |
| Zip Code | 17822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871580167 | Michael James Murray | Anesthesiology | 100 North Academy Ave., Danville, PA 17822-2037 | 2005-10-01 |
| 1467922013 | Danielle Marie Klock | Physician Assistant | 100 North Academy Ave., Danville, PA 17822 | 2018-11-27 |
| 1871021394 | Robert Thomson | Nurse Anesthetist, Certified Registered | 100 North Academy Ave., Danville, PA 17822-2025 | 2017-05-28 |
| 1760890909 | Tamoor Shahid | Hospitalist | 100 North Academy Ave., Danville, PA 17822-2019 | 2014-07-31 |
| 1508277443 | Hardik Arvindbhai Patel | Internal Medicine | 100 North Academy Ave., Danville, PA 17822-2019 | 2014-05-14 |
| 1396165874 | Alex Snyder | Hospitalist | 100 North Academy Ave., Danville, PA 17822 | 2014-04-23 |
| 1548689987 | Pranav Dineshkumar Patel | Hospitalist | 100 North Academy Ave., Danville, PA 17822-2019 | 2014-04-14 |
| 1437590320 | Mena Michael Danial Samaan | Psychiatry & Neurology | 100 North Academy Ave., Danville, PA 17822-1405 | 2013-07-09 |
| 1093155483 | Mudassar Raees Ahmad | Hospitalist | 100 North Academy Ave., Danville, PA 17822-2019 | 2013-06-28 |
| 1265872931 | Isaac Siegfried | Emergency Medicine | 100 North Academy Ave., Danville, PA 17822 | 2013-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062895 | Staci Lee Benoit | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue Geisinger Medical Center, Danville, PA 17822 | 2020-04-24 |
| 1275162018 | Kristena Yossef | Student in an Organized Health Care Education/Training Program | Geisinger Medical Center, 100 North Academy Avenue, Da, Danville, PA 17822 | 2020-04-03 |
| 1003470444 | Intekhab Askari Syed Ahmad Raza | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Geisinger Medical Center, Danville, PA 17822 | 2019-04-30 |
| 1841766334 | Sarah Louise Dearment | Counselor | Geisinger Medical Center: Department of Psychiatry, 100 N. Academy Avenue, Danville, PA 17822 | 2018-10-23 |
| 1548753908 | Josie Pervola | Genetic Counselor, MS | 100 N Academy Ave Mc-26-20, Danville, PA 17822 | 2018-06-11 |
| 1477059350 | Martha Niemiec | Counselor | Geisinger Medical Center Department of Psychiatry, 100 North Academy Avenue, Danville, PA 17822 | 2018-04-01 |
| 1730625450 | Nir Shimony | Neurological Surgery | 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 | 2017-01-19 |
| 1164877197 | Britta Hunter | Speech-Language Pathologist | 100 N. Academy Ave., Danville, PA 17822 | 2016-04-27 |
| 1891180725 | Zach Rottmann | Internal Medicine | Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822 | 2015-03-30 |
| 1891063251 | John D Chakan | Pharmacist | 1000 S Second St, Sunbury, PA 17822 | 2011-12-13 |
| Find all providers in zip 17822 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043317357 | Narayan R. Amin | Urology | Vaihcs - 112/dr N Amin, 1900 E. Main St., Danville, IL 61832 | 2006-09-20 |
| 1164428140 | Edward Thorburn Wright | Urology | 1040 Main St, Danville, VA 24541-1816 | 2005-06-23 |
| 1336428440 | Alyssa Marie Park | Urology | 100 N Academy Ave, Danville, PA 17822-1032 | 2011-08-07 |
| 1174813786 | Matthew Arthur Meissner | Urology | 100 N Academy Ave, Danville, PA 17822-4009 | 2011-04-15 |
| 1164688271 | Moira E Dwyer | Urology | 100 N Academy Ave, Danville, PA 17822-1316 | 2008-07-29 |
| 1750553566 | Ryan Lee Mori | Urology | 100 N Academy Ave, Danville, PA 17822-1316 | 2008-04-01 |
| 1538365861 | Heinric Williams | Urology | 100 N Academy Ave, Danville, PA 17822-1316 | 2007-06-24 |
| 1609957042 | Ryan Michael Turpen | Urology | 230 W Main St, Suite 102, Danville, KY 40422-1871 | 2006-10-18 |
| 1912094962 | Tullika Garg | Urology | 100 North Academy Ave., Danville, PA 17822-1316 | 2006-10-09 |
| 1528152493 | Commonwealth Urology Danville | Urology | 222 S 3rd St, Danville, KY 40422-1824 | 2006-10-03 |
| Find all providers in DANVILLE | ||||
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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.