Individual provider Active NPI

Brian Fuller

  • Chiropractor
  • Carmel, IN
National Provider Identifier
1033071972
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003571A Issued in IN
Practice address
718 Adams St Ste D
Carmel, IN 46032-7594
Phone
(317) 817-9900
NPI assigned
Dec 1, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003571A IN Primary

Addresses

Primary practice location

718 Adams St Ste D
Carmel, IN 46032-7594

Mailing address

718 Adams St Ste D
Carmel, IN 46032-7594
Phone (317) 817-9900

Other practice location 1

1173 N Commercial Ave
Delphi, IN 46923-2500
Phone (765) 564-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260204003785 IN Practitioner - Chiropractic 1052890639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan K Van Matre DC IncGroup PAC ID 7911939921, 5 clinicians

Practice addresses (Care Compare)

718 Adams St
Carmel, IN 46032-7590
Phone (317) 817-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08003571AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan K. Van Matre, DC, Inc. CurrentSince Jan 29, 2026 Accepting new patients

Locations

718 Adams St
Ste D
Carmel, IN 46032
Phone (317) 763-2520

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1033071972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 ADAMS ST STE D",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327594",
            "telephone_number": "317-817-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 ADAMS ST STE D",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327594",
            "telephone_number": "317-817-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1173 N Commercial Ave",
            "address_purpose": "LOCATION",
            "city": "Delphi",
            "state": "IN",
            "postal_code": "469232500",
            "country_code": "US",
            "telephone_number": "765-564-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-01",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003571A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.