Charles W. Fuller, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F3971 Issued in TX

Legal business name

CHARLES W. FULLER, MD

Practice address

1933 Pine St
Suite B
Abilene, TX 79601-2431

Phone

(325) 675-0338

Fax

(325) 676-5049

NPI assigned

Aug 4, 2011

Last updated

Aug 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles W Fuller, MDNPI 1780680439

Title

Physician/Owner

Phone

(325) 675-0338

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles W Fuller, M.D.

  • Family Medicine Physician
  • Abilene, TX
  • NPI 1780680439
  Authorized official Same address or phone

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1508145871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 PINE ST",
            "address_2": "SUITE B",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012431",
            "telephone_number": "325-675-0338",
            "fax_number": "325-676-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 PINE ST",
            "address_2": "SUITE B",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012431",
            "telephone_number": "325-675-0338",
            "fax_number": "325-676-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES W. FULLER, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "325-675-0338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F3971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G Noel Chant, MD
• Judith F. Chant, RN, MSN, FNP-BC
• Erin Rae Chapman
• Shandra Brewer Chapman, R.N.
• Nathaniel Allen Chappa, LVN
• Canaan Charleston
• McKinley Charleville, M.S. CCC-SLP
• Chartwell Community Service, Inc (Elara Caring)
• Chartwell Community Services Inc. (Elara Caring)
• Chartwell Community Services, Inc (Jordan Health Service, a Part of the Elara Caring Network)

• Family Medicine Physician in Abilene, TX
• Providers in Abilene, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.