Brian C Fuller, M.D.

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

R8564 Issued in TX

Practice address

4780 N Josey LN
Carrollton, TX 75010-4615

Phone

(972) 492-1334

Fax

(972) 492-7909

NPI assigned

Jun 17, 2009

Reactivated

Sep 26, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, TX2 enrollments

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 2

Specialty

Orthopedic Surgery

Education

University of Missouri, Columbia School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Orthotexas Physicians and Surgeons, PLLCGroup PAC ID 3375724792, 35 clinicians

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Everkind Home Health Care Home health agency, Richardson, TX, CCN 679251
• Baylor Scott & White Medical Center - Frisco Hospital, Frisco, TX, CCN 450853
• Medical City Plano Hospital, Plano, TX, CCN 450651
• Carrollton Regional Medical Center Hospital, Carrollton, TX, CCN 450730
• Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036
• Baylor Institute for Rehabilitation at Frisco Inpatient rehabilitation facility, Frisco, TX, CCN 673046

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.fuller.1@15749.direct.athenahealth.com

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.

• Orthotexas Physicians and Surgeons, PLLC

  • Orthopaedic Surgery Physician
  • Plano, TX
  • NPI 1740590066
  Medicare reassignment Care Compare group NPD
• Midwest Orthopaedics at Rush, LLC

  • Orthopaedic Surgery Physician
  • Chicago, IL
  • NPI 1811942451
  Medicare reassignment NPD
• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Cedar Park, TX
  • NPI 1871132357
  Care Compare group
• Orthotexas Physicians and Surgeons, PLLC

  • Orthopaedic Surgery Physician
  • Frisco, TX
  • NPI 1154622660
  NPD
• Orthotexas Physicians and Surgeons, PLLC

  • Orthopaedic Surgery Physician
  • Sherman, TX
  • NPI 1619541711
  NPD
• Midwest Orthopaedics at Rush LLC

  • Durable Medical Equipment & Medical Supplies
  • Orland Park, IL
  • NPI 1134871908
  NPD
• Orthopaedic Associates of North Texas PA

  • Orthopaedic Surgery Physician
  • Allen, TX
  • NPI 1083628846
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bir JV LLP

  • Rehabilitation Hospital
  • Frisco, TX
  • NPI 1285930891

  Inpatient rehabilitation facility

  Care Compare affiliation
• Bir JV LLP

  • Rehabilitation Hospital
  • Dallas, TX
  • NPI 1538465901

  Inpatient rehabilitation facility

  Care Compare affiliation
• Columbia Medical Center of Plano Subsidiary LP

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1699726406
  Care Compare affiliation
• Frisco Medical Center LLP

  • General Acute Care Hospital
  • Frisco, TX
  • NPI 1922002674
  Care Compare affiliation
• Reliable Group Inc.

  • Personal Care Attendant
  • Garland, TX
  • NPI 1952446320

  Home health agency

  Care Compare affiliation
• Sana Healthcare Carrollton

  • General Acute Care Hospital
  • Carrollton, TX
  • NPI 1184262800
  Care Compare affiliation

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1396972386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104615",
            "telephone_number": "972-492-1334",
            "fax_number": "972-492-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104615",
            "telephone_number": "972-492-1334",
            "fax_number": "972-492-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "BRIAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "deactivation_date": "2019-08-21",
        "reactivation_date": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NE",
            "license": "25870",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "IL",
            "license": "036144916",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "TX",
            "license": "R8564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8LJ360",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frisco Professional Counseling PLLC
• Adrien Jolyn Frnka, DDS
• Dakota Lee Frysinger, PTA
• Guillermo Martin Fuentes, D.O.
• Maria Angeles Fuentes, PEDODONTIST
• Fundamental Care Home Health Agency Inc
• Ashten Galan
• Galaxy Equipments LLC
• Anna M Galvan
• Marissa Galvan, M.S., CCC-SLP

• Adult Reconstructive Orthopaedic Surgery Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.