Brian J. Fuller, M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

46857 Issued in CO

Practice address

2373 Central Park Blvd
Suite 303
Denver, CO 80238-2300

Phone

(720) 220-7857

Fax

(303) 287-7357

NPI assigned

Nov 28, 2006

Last updated

Aug 12, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Pain ManagementAlso: Physical Medicine and Rehabilitation

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brian Fuller MD PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Denver, CO
  • NPI 1548557317
  Medicare reassignment NPD Authorized official
• Intermountain Front Range, Inc.

  dba Lutheran Hospital - Breast Care Center

  • General Acute Care Hospital
  • Wheat Ridge, CO
  • NPI 1619706249
  NPD (past)
• Red Rocks Center for Rehabilitation

  • Specialist
  • Golden, CO
  • NPI 1881726891
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1538235502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3087 TEJON ST",
            "address_2": "SPT C",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113976",
            "telephone_number": "720-220-7857",
            "fax_number": "303-320-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 CENTRAL PARK BLVD",
            "address_2": "SUITE 303",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382300",
            "telephone_number": "720-220-7857",
            "fax_number": "303-287-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "BRIAN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "46857",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CO",
            "license": "46857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03433544",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Marie Fulks, CSFA
• Full Expression Therapy LLC
• Full Life Counseling LLC
• Full Soul Nutrition LLC
• Alex Fuller, LPC
• Dorothy Diane Fuller, D.D.S.
• Jonathan Fuller, MA, LPC
• Sherry Fuller, FNP-C
• Trinady Rianne Fuller, CSFA
• William Edward Fuller, M.D.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Denver, CO
• Providers in Denver, CO by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.