Garry T. Fuller, D.C., PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001100 Issued in IN

Legal business name

GARRY T. FULLER, D.C., PC

Practice address

515 N Green St Ste 100
Brownsburg, IN 46112-2115

Phone

(317) 852-8885

Fax

(317) 852-7492

NPI assigned

Sep 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Garry T Fuller, D.C.NPI 1609854744

Title

Owner/President

Phone

(317) 852-8885

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

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

• Garry T Fuller, D.C.

  • Chiropractor
  • Brownsburg, IN
  • NPI 1609854744
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1609024124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461120459",
            "telephone_number": "317-852-8885",
            "fax_number": "317-534-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N GREEN ST STE 100",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461122115",
            "telephone_number": "317-852-8885",
            "fax_number": "317-852-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRY T. FULLER, D.C., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "317-852-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Gardner
• Megan Gardner, RBT
• Kendall Garland, RBT
• Tiara Garnes
• Amber Garrett, RBT
• Megan Gaul, RBT
• Emerson Gayes, DT
• Naomi Gebremedhin, RBT
• Samantha Gehle
• Tana Gehring, PT, DPT

• Chiropractor in Brownsburg, IN
• Providers in Brownsburg, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.