NPIMap

Individual provider Active NPI

Brian J Fuller, MD

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1780973982
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.124187 Issued in OH
Practice address
7810 5 Mile Rd
Cincinnati, OH 45230-2356
Phone
(513) 246-7000
NPI assigned
Mar 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 35.124187 OH
Family Medicine Physician 207Q00000X 35.124187 OH Primary

Addresses

Primary practice location

7810 5 Mile Rd
Cincinnati, OH 45230-2356

Mailing address

4685 Forest Ave C
Cincinnati, OH 45212-3359
Phone (513) 853-4731

Other identifiers 1

IdentifierTypeStateIssuer
0124895MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150904000988 OH Practitioner - Family PracticePractitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 2668799388 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethesda Family Practice CenterGroup PAC ID 7012905292, 15 clinicians
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians

Practice addresses (Care Compare)

1775 W Lexington
Suite 100
Cincinnati, OH 45212-3667
Phone (513) 977-6700

375 Dixmyth Ave
Cincinnati, OH 45220-2475

379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000

7810 5 Mile Rd
Cincinnati, OH 45230-2356
Phone (516) 246-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.124187OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Family Practice Center Family Medicine CurrentSince Feb 4, 2026 Accepting new patients
Trihealth H LLC CurrentSince Mar 2, 2022 Accepting new patients
Trihealth G LLC Family Medicine Past Accepting new patients
Trihealth Physician Institute Past Accepting new patients

Locations

6909 Good Samaritan Dr
Ste A
Cincinnati, OH 45247
Phone (513) 245-2500

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

1775 W Lexington
Ste 100
Cincinnati, OH 45212
Phone (513) 531-6720

8311 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 246-2300

7810 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 232-1253

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796

Interoperability endpoints

  • Direct secure messaging: bfuller4584@direct.trihealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1780973982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 FOREST AVE C",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123359",
            "telephone_number": "513-853-4731",
            "fax_number": "513-852-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 5 MILE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452302356",
            "telephone_number": "513-246-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-29",
        "last_updated": "2026-05-11",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "35.124187",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.124187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0124895",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.