DR. BRIAN J. FULLER (NPI# 1538235502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538235502 |
| Entity Type | Individual |
| Full Name | DR. BRIAN J. FULLER |
| Credential | M.D. |
| Practice Address |
2373 Central Park Blvd Suite 303 Denver CO 80238-2300 |
| Mailing Address |
3087 Tejon St Spt C Denver CO 80211-3976 |
| Practice Telephone | 7202207857 |
| Practice Fax Number | 3032877357 |
| Mailing Telephone | 7202207857 |
| Mailing Fax Number | 3033202934 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2011-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 46857 | CO | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
46857 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 03433544 | 05 |
| 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 |
| Street Address |
2373 CENTRAL PARK BLVD SUITE 303 |
| City | DENVER |
| State | CO |
| Zip Code | 80238-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497799241 | David Erik Ouderkirk Dpm PC | Podiatrist | 2373 Central Park Blvd, Suite 201, Denver, CO 80238-2300 | 2006-06-15 |
| 1598213803 | Tajah Schall | Counselor | 2373 Central Park Blvd, Unit 100, Denver, CO 80238-2300 | 2016-09-15 |
| 1396290375 | Jennifer Gennaro Prokopchik | Social Worker | 2373 Central Park Blvd, Suite 100, Denver, CO 80238-2300 | 2016-08-19 |
| 1861858318 | Arisone Home Health Care, Inc. | In Home Supportive Care | 2373 Central Park Blvd, Suite 100, Denver, CO 80238-2300 | 2016-01-13 |
| 1215312632 | Shine Chiropractic, LLC | Chiropractor | 2373 Central Park Blvd, Suite 100, Denver, CO 80238-2300 | 2015-07-27 |
| 1770966269 | Aronoff Counseling LLC | Counselor | 2373 Central Park Blvd, Suite 100, Denver, CO 80238-2300 | 2015-07-02 |
| 1255771960 | Jennifer Ashley Gennaro | Social Worker | 2373 Central Park Blvd, Unit 100, Denver, CO 80238-2300 | 2013-06-26 |
| 1609118587 | Amanda Kay Huston | Optometrist | 2373 Central Park Blvd, Suite 102, Denver, CO 80238-2300 | 2013-03-19 |
| 1548557317 | Brian Fuller Md PC | Physical Medicine & Rehabilitation | 2373 Central Park Blvd, Suite 303, Denver, CO 80238-2300 | 2011-06-30 |
| 1144545997 | Bethany Michelle Carvajal | Pediatrics | 2373 Central Park Blvd, Suite 202, Denver, CO 80238-2300 | 2010-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651621 | Kuumba Therapy, LLC | Community/Behavioral Health | 2376 Central Park Blvd, Ste 100, Denver, CO 80238 | 2020-08-26 |
| 1831687755 | Daffer Ghanim | Student in an Organized Health Care Education/Training Program | 3055 Roslyn Street, Suite #100, Denver, CO 80238 | 2018-04-26 |
| 1164932612 | East Stapleton Dentistry, LLP | Dentist | 10355 E Martin Luther King Jr Blvd Suite 110, Denver, CO 80238 | 2017-10-10 |
| 1245760131 | Ellen Macdonald | Dentist | 8354 E Northfield Blvd Unit 2750, Denver, CO 80238 | 2017-06-14 |
| 1346797867 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 10406 Martin Luther King Blvd, Denver, CO 80238 | 2016-09-01 |
| 1619341997 | Northfield Family Dental | Clinic/Center | 8361 E. Northfield Blvd, Denver, CO 80238 | 2015-11-24 |
| 1922476092 | Deborah Bellesheim | Registered Nurse | 2836 Akron St, Denver, CO 80238 | 2015-09-08 |
| 1235544826 | Andrew Benson | Optometrist | 5489 N Xenia St, Denver, CO 80238 | 2014-06-23 |
| 1861817249 | Caleb Rodgers | Chiropractor | 7505 E 35th Ave Unit 302, Denver, CO 80238 | 2014-02-21 |
| 1124307095 | Ambrosia C Shepard | Counselor | 8354 E Northfield Blvd, Denver, CO 80238 | 2011-08-10 |
| Find all providers in zip 80238 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336615970 | Alpine Health & Wellness | Physical Medicine & Rehabilitation | 3955 E Exposition Ave Ste 505, Denver, CO 80209-5030 | 2018-10-22 |
| 1548557317 | Brian Fuller Md PC | Physical Medicine & Rehabilitation | 2373 Central Park Blvd, Suite 303, Denver, CO 80238-2300 | 2011-06-30 |
| 1073703484 | Rock Navarkal | Physical Medicine & Rehabilitation | 650 S Cherry St, Ste 1015, Denver, CO 80246-1801 | 2007-07-31 |
| 1346430030 | Patrick Winston Russell | Physical Medicine & Rehabilitation | 2045 N Franklin St, Denver, CO 80205-5437 | 2007-07-28 |
| 1184846966 | Rocky Mountain Rehabilitation Specialist LLC | Physical Medicine & Rehabilitation | 1380 S Santa Fe Dr, Ste. 100, Denver, CO 80223-3260 | 2007-05-02 |
| 1952461220 | Rachel Lee Basse | Physical Medicine & Rehabilitation | 1380 S Santa Fe Dr, Ste. 100, Denver, CO 80223-3260 | 2006-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689189714 | Primus Integrated Medicine, LLC | Physical Medicine & Rehabilitation | 16830 Northgate Dr Unit 130, Parker, CO 80134-5778 | 2017-12-12 |
| 1639610389 | Comprehensive Rehabilitation & Pain Specialists, Pllc. | Physical Medicine & Rehabilitation | 9351 Grant St Ste 490, Thornton, CO 80229-4365 | 2017-03-14 |
| 1962860528 | Colorado Health Providers LLC | Physical Medicine & Rehabilitation | 7251 W 20th St # Blvdgn, Greeley, CO 80634-4625 | 2016-02-10 |
| 1215306246 | A Hall Enterprises, LLC | Physical Medicine & Rehabilitation | 9695 S Yosemite St Ste 373, Lone Tree, CO 80124-2888 | 2015-09-21 |
| 1831572759 | The Peak Physical Medicine | Physical Medicine & Rehabilitation | 2955 Professional Pl Ste 201, Colorado Springs, CO 80904-8140 | 2015-07-09 |
| 1689935371 | Jason P Markle | Physical Medicine & Rehabilitation | 403 Summit Blvd Unit 201, Broomfield, CO 80021-8253 | 2012-05-30 |
| 1356626295 | Mountain Medical Injury and Pain Professionals LLC | Physical Medicine & Rehabilitation | 5534 Salvia Ct, Golden, CO 80403-1118 | 2011-10-11 |
| 1013200021 | Integrated Sports & Spine LLC | Physical Medicine & Rehabilitation | 380 Empire Rd Ste 120, Lafayette, CO 80026-2677 | 2011-05-24 |
| 1922310119 | Amar Patel | Physical Medicine & Rehabilitation | 9195 Grant St Ste 300, Thornton, CO 80229-4386 | 2010-07-05 |
| 1205963873 | Steven Roger Defosses | Physical Medicine & Rehabilitation | 192 E Cheyenne Mnt Blvd, Colorado Springs, CO 80906 | 2007-02-28 |
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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.