BRIAN J FULLER


Address: 6909 Good Samaritan Dr, Suite A, Cincinnati, OH 45247-5208
Phone: 5132452500

BRIAN J FULLER (NPI# 1780973982) 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) 1780973982
Entity Type Individual
Full Name BRIAN J FULLER
Credential MD
Practice Address 6909 Good Samaritan Dr
Suite A
Cincinnati
OH 45247-5208
Mailing Address 4685 Forest Ave C
Cincinnati
OH 45212-3359
Practice Telephone 5132452500
Practice Fax Number 5132455424
Mailing Telephone 5138534731
Mailing Fax Number 5138528525
Enumeration Date 2011-03-29
Last Update Date 2017-01-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
35.124187 OH Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program OH Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
OH OTHER 12051983 01
OH 0124895 05

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
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

Office Location

Street Address 6909 GOOD SAMARITAN DR
SUITE A
City CINCINNATI
State OH
Zip Code 45247-5208

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457350647 Todd S Harrison Specialist/Technologist 6909 Good Samaritan Dr, Ste A, Cincinnati, OH 45247-5208 2005-07-19
1144796962 Myles Beeman Physical Therapist 6909 Good Samaritan Dr, Cincinnati, OH 45247-5208 2018-10-18
1427504224 Brandon Modafari Physical Therapist 6909 Good Samaritan Dr, Ste. A, Cincinnati, OH 45247-5208 2016-08-31
1992166631 Kristen Imhoff Clinic/Center 6909 Good Samaritan Dr, Suite A, Cincinnati, OH 45247-5208 2016-03-08
1881050292 Borrego Dialysis LLC Clinic/Center 6909 Good Samaritan Dr, Ste C, Cincinnati, OH 45247-5209 2016-01-14
1770986945 Christina Ward Occupational Therapist 6909 Good Samaritan Dr, Ste A, Cincinnati, OH 45247-5208 2014-10-02
1790188084 Robert Schneider Occupational Therapist 6909 Good Samaritan Dr, Suite A, Cincinnati, OH 45247-5208 2014-10-01
1346659364 Jackie Joyce Occupational Therapist 6909 Good Samaritan Dr, Suite A, Cincinnati, OH 45247-5208 2014-08-04
1578980603 Christopher Chen Orthopaedic Surgery 6909 Good Samaritan Dr, Cincinnati, OH 45247-5208 2014-03-26
1053735944 Trihealth G LLC Dermatology 6909 Good Samaritan Dr, Ste A, Cincinnati, OH 45247-5208 2014-02-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194368118 Kimberly Carol Downs Licensed Practical Nurse 6460 Harrison Avenue, Cincinnati, OH 45247 2019-10-22
1487130100 Stacey G Coleman Counselor 6860 Harrison Ave, Suite 200, Cincinnati, OH 45247 2018-07-16
1922526524 Tawnya Mcnulty Occupational Therapy Assistant 6165 Taylor Road, Cincinnati, OH 45247 2017-09-02
1942733704 Mary Kathleen Herman Dentist 8111 Cheviot Rd Ste 102, Cincinnati, OH 45247 2017-04-09
1831501287 Cesar Mel Froilan Cabigon Internal Medicine 8132 Fawn Lake Ct Loc 251, Cincinnati, OH 45247 2014-05-20
1447699459 Mullaney Medical, Inc Durable Medical Equipment & Medical Supplies 5907 Cheviot Rd, Cincinnati, OH 45247 2013-06-24
1891035994 Tara Mcintosh Pharmacist 6552 Harrison Rd, Cincinnati, OH 45247 2013-02-26
1629353677 Teresa Zuidema Pharmacist 5403 North Bend Ave., Cincinnati, OH 45247 2011-10-20
1982842159 Timothy John Kreimer Dentist 3560 Blue Rock Rd, Cincinnati, OH 45247 2009-01-27
1437219961 Donald R Murdock Dentist 5420 North Bend Rd, Cincinnati, OH 45247 2006-12-12
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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497804181 Earl C. Scheidler,do., Inc. Family Medicine 11043 Main St, Cincinnati, OH 45241-2678 2007-01-10
1154303501 Todd E Grime Family Medicine 8099 Cornell Rd, Cincinnati, OH 45249 2005-11-18
1295353092 Orthocincy Family Medicine 8251 Pine Rd Ste 212, Cincinnati, OH 45236-2194 2020-07-08
1467656462 Emily E Dixon Family Medicine 4411 Montgomery Rd, Suite 200, Cincinnati, OH 45212 2007-06-13
1043345739 Manna Yegna Sankar Family Medicine 4460 Montgomery Rd, Cincinnati, OH 45212-3116 2007-02-22
1659391761 Jon G Divine Family Medicine 222 Piedmont Ave, Ml 0212, Cincinnati, OH 45219-4231 2006-07-20
1528063740 John Patrick Zisko Family Medicine 4440 Glen Este Withamsville Rd, Suite 500, Cincinnati, OH 45245-1318 2005-06-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417467119 Natalie Marie Dragovich Family Medicine 9228 Shepard Rd, Macedonia, OH 44056-1454 2017-10-07
1134547615 Ryan E Hunt Family Medicine 140 Coleman's Crossing Blvd, Suite 110, Marysville, OH 43040 2014-04-02
1295152296 Benjamin Ross Ahrens Family Medicine 4343 All Seasons Dr Ste 100, Hilliard, OH 43026-1961 2014-03-27
1083039309 Jamie Delvecchio Family Medicine 150 7th Ave Ste 200, Chardon, OH 44024 2014-02-24
1669815445 Anthony Peter Mckeen Family Medicine 1900 S Union Ave Ste 100, Alliance, OH 44601-4355 2013-04-11
1053661322 Greene Memorial Hospital Services, Inc. Family Medicine 6645 Morris Rd, Hamilton, OH 45011-5417 2012-09-14
1700142734 Jeffrey Aaron James Family Medicine 2350 Miami Valley Dr Ste 320a, Dayton, OH 45459-4778 2012-04-04
1568751790 Raul A Raudales Jr. Family Medicine State Rte 159, Ste G15, Chillicothe, OH 45601 2011-03-28
1255639381 Ohiohealth Corporation Family Medicine 1797 Hill Rd N Ste 100, Pickerington, OH 43147-7998 2011-03-15
1811295900 Ohiohealth Corporation Family Medicine 94 N High St Ste 200, Dublin, OH 43017-1194 2011-03-14
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Competitor

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City CINCINNATI
Zip Code 45247

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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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