Garry T Fuller, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001100 Issued in IN

Practice address

515 N Green St
Suite 100
Brownsburg, IN 46112-2421

Phone

(317) 852-8885

Fax

(317) 852-7492

NPI assigned

Jan 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Garry T. Fuller, D.C., PC

  • Chiropractor
  • Brownsburg, IN
  • NPI 1609024124
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1609854744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N GREEN ST",
            "address_2": "SUITE 100",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461122421",
            "telephone_number": "317-852-8885",
            "fax_number": "317-852-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N GREEN ST",
            "address_2": "SUITE 100",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461122421",
            "telephone_number": "317-852-8885",
            "fax_number": "317-852-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "GARRY",
        "middle_name": "T",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100133800A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita Fries, DO
• Abigail Fritzgerald, LMHCA
• Jennifer Lynn Fryman, DPT
• Angela Lea Fugate, M.D.
• Maddison Fulks, RBT
• G. Lyman Shaw,D.C.,P.C. (Brownsburg Chiropractic Center)
• Gabra S Gachaw MD LLC
• Elizabeth Gallant, RN, PMHNP-BC
• Jack Galle, RBT
• Kyle Douglas Gannon

• 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 Mar 11, 2015; 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.