Benjamin Banks Fulmer, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

18579 Issued in AL

Practice address

806 St. Vincent's Drive 4
Suite 450
Birmingham, AL 35205

Phone

(205) 986-5200

Fax

(205) 986-5250

NPI assigned

May 10, 2006

Last updated

Jun 15, 2021By the provider in NPPES

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 9

Medicare fee-for-service enrollment

Enrolled in AL

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

Neurosurgery

Education

University of Alabama School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

STV Neuro I LLCGroup PAC ID 8224309406, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Vincent's Birmingham Hospital, Birmingham, AL, CCN 010056
• St Vincent's St Clair Hospital, Pell City, AL, CCN 010130
• St Vincents Blount Hospital, Oneonta, AL, CCN 011305
• Coosa Valley Medical Center Hospital, Sylacauga, AL, CCN 010164

Merit-based Incentive Payment System (MIPS)

Final score

83.58 of 100Reported as individual

Quality

77.59

Improvement activities

40

Cost

75.16

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• STV Neuro I LLC

  • Neurological Surgery Physician
  • Birmingham, AL
  • NPI 1881048403
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Vincents Blount

  • Critical Access Hospital
  • Oneonta, AL
  • NPI 1184967523
  Care Compare affiliation
• St. Vincent's Birmingham

  dba Ascension St. Vincent's Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1841298999
  Care Compare affiliation
• St. Vincent's St. Clair, LLC

  dba Ascension St. Vincent's St. Clair

  • General Acute Care Hospital
  • Pell City, AL
  • NPI 1992809305
  Care Compare affiliation
• Sylacauga Health Care Authority Inc

  dba Coosa Valley Medical Center

  • Rural Acute Care Hospital
  • Sylacauga, AL
  • NPI 1972527265
  Care Compare affiliation

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1750331104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 ST. VINCENT'S DRIVE POB 4",
            "address_2": "SUITE 450",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35205",
            "telephone_number": "205-986-5200",
            "fax_number": "205-986-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 ST. VINCENT'S DRIVE 4",
            "address_2": "SUITE 450",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35205",
            "telephone_number": "205-986-5200",
            "fax_number": "205-986-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULMER",
        "first_name": "BENJAMIN",
        "middle_name": "BANKS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AL",
            "license": "18579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009942240",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENIORS FIRST",
            "identifier": "G08215",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SPRING",
            "identifier": "G08215",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "051500940",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "374211700",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "51500940",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51542406",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000093823",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE ADVANTAGE",
            "identifier": "051500940",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Fuller
• Maxine Williford Fuller, M.A., LPC, ED.D
• Teria Jo Fuller, RN
• Lisa Putman Fullman
• Ashlee M Fulmer, M.D.
• Tara C Fulmer, CRNA
• Fulton Dental, LLC.
• Edward Hendrik Fulton, M.D.
• William Kane Fulton, DMD
• Functional Athletic Rehabilitation & Movement

• Neurological Surgery Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Neurological Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.