Fuller Family Medicine, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FULLER FAMILY MEDICINE, PC

Practice address

4045 Avenue B
Billings, MT 59106

Phone

(713) 256-1801

Fax

(832) 413-5904

NPI assigned

Jul 15, 2011

Organization subpart

No

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

Authorized official

Name

Retha H Reeves

Title

Administrator

Phone

(713) 256-1801

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Fuller, MD

  • Internal Medicine Physician
  • Billings, MT
  • NPI 1083652564
  Medicare reassignment Care Compare group NPD
• Elizabeth Anne McKinney

  • Family Nurse Practitioner
  • Billings, MT
  • NPI 1568168417
  Medicare reassignment Care Compare group NPD
• Wendy Kae Ruggles, PA-C

  • Physician Assistant
  • Billings, MT
  • NPI 1265620827
  Medicare reassignment Care Compare group
• Angela Fuller, FNP-BC

  • Nurse Practitioner
  • Billings, MT
  • NPI 1184033722
  Medicare reassignment NPD
• Melissa Lynn Fuller, DNP

  • Nurse Practitioner
  • Billings, MT
  • NPI 1831329804
  Medicare reassignment NPD

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1063700722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 AVENUE B",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "59106",
            "telephone_number": "713-256-1801",
            "fax_number": "832-413-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 AVENUE B",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "59106",
            "telephone_number": "713-256-1801",
            "fax_number": "832-413-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "RETHA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-256-1801"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "10392",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frontier Care Network
• Frontier Psychiatry, PLLC
• Robert Maurice Fry, DDS
• Fueling Life Nutrition
• Samantha Fuhrmann, RD
• Amy Jo Fuller, DDS
• Angela Fuller, FNP-BC
• Bradley Fuller, MD
• Melissa Lynn Fuller, DNP
• Brian D. Fullerton, MD

• Clinic/Center in Billings, MT
• Providers in Billings, MT by specialty
• Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.