Active NPI
James Brandon Fuller, DAOM, AP
- Acupuncturist
- Sarasota, FL
National Provider Identifier
1669813747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP3193
- Practice address
- 3205 Southgate Cir Ste 7
Sarasota, FL 34239-5514 - Phone
- (941) 724-0827
- Fax
- (941) 296-7446
- NPI assigned
- Jul 17, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP3193 | FL | Primary |
Addresses
Primary practice location
3205 Southgate Cir Ste 7
Sarasota, FL 34239-5514
Mailing address
6558 Tarawa Dr
Sarasota, FL 34241-5644
Phone (941) 724-0827
Other practice location 1
3808 N Tamiami Trl
Sarasota, FL 34234-5362
Phone (941) 355-9080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP3193 | Other | FL | ACUPUNCTURE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://ehr.unifiedpractice.com/Public/OnlineBooking? | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP3193 | FL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandon Fuller & Associates | Acupuncturist | Current | Accepting new patients |
| East West College of Natural Medicine | Past | Accepting new patients | |
| Brandon Fuller & Associates | Acupuncturist | Past | Accepting new patients |
Locations
3205 Southgate Cir
Ste 7
Sarasota, FL 34239
Phone (941) 500-2767
Organizations & group practices 3
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.
-
- Acupuncturist
- Sarasota, FL
- NPI 1508630161
-
- Acupuncturist
- Sarasota, FL
- NPI 1366366114
-
- Clinic/Center
- Sarasota, FL
- NPI 1992031421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578700800000",
"number": "1669813747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6558 TARAWA DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342415644",
"telephone_number": "941-724-0827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 SOUTHGATE CIR STE 7",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342395514",
"telephone_number": "941-724-0827",
"fax_number": "941-296-7446"
}
],
"practiceLocations": [
{
"address_1": "3808 N Tamiami Trl",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342345362",
"country_code": "US",
"telephone_number": "941-355-9080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FULLER",
"first_name": "JAMES",
"middle_name": "BRANDON",
"name_prefix": "Dr.",
"credential": "DAOM, AP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-17",
"last_updated": "2020-01-11",
"certification_date": "2020-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP3193",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE",
"identifier": "AP3193",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://ehr.unifiedpractice.com/Public/OnlineBooking?",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3205 Southgate Cir Ste 7",
"city": "Sarasota",
"state": "FL",
"country_code": "US",
"postal_code": "342395514",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.