Billy Ray Fulk, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME63287 Issued in FL

Practice address

16731 McGregor Blvd
Suite 105
Fort Myers, FL 33908-3843

Phone

(239) 437-2121

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1964

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McGregor Medical and Wellness,LLCGroup PAC ID 6709195340, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• McGregor Medical and Wellness,LLC

  • Primary Care Clinic/Center
  • Fort Myers, FL
  • NPI 1487039723
  Medicare reassignment Care Compare group NPD
• Foot and Ankle Care of the Island Coast PA

  • Podiatrist
  • Fort Myers, FL
  • NPI 1750437166
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1043315468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16731 MCGREGOR BLVD",
            "address_2": "SUITE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083843",
            "telephone_number": "239-437-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16731 MCGREGOR BLVD",
            "address_2": "SUITE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083843",
            "telephone_number": "239-437-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULK",
        "first_name": "BILLY",
        "middle_name": "RAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME63287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gustavo Enrique Fuentes, D.M.D.
• Adam Fueredi, M.D.
• Jennifer Morton Fugatt, PT
• Shaunte Fulcher
• Megan Renee Fulford
• Chante Fuller
• James H Fuller, MD
• Rasheka Fuller
• Chelsea Cree Fullgrapp, DDS
• Ellen-Beth Fullwood, MS CCC-SLP

• Family Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.