Fulton Sports Medicine LLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

FULTON SPORTS MEDICINE LLC

Practice address

873 Hull Rd Unit 12
Ormond Beach, FL 32174-0738

Phone

(386) 267-2965

Fax

(386) 603-6007

NPI assigned

May 25, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Brent Nelson Fulton, MDNPI 1194708495

Title

President

Phone

(386) 267-2965

Specialties & licenses 1

Addresses

Practitioners 1

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

• Brent N Fulton, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Ormond Beach, FL
  • NPI 1194708495
  NPD Authorized official

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1801727441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 HULL RD UNIT 12",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321740738",
            "telephone_number": "386-267-2965",
            "fax_number": "386-603-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 HULL RD UNIT 12",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321740738",
            "telephone_number": "386-267-2965",
            "fax_number": "386-603-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-24",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-267-2965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Friend, LMHC
• Shari Frye, ARNP
• Sandra Fuhrmann, L.M.T.
• Lindsey Blair Fuller
• Dalia Fulop, MD
• Brent N Fulton, M.D.
• Funcoast Pediatrics PA
• Functional Health Institute, Inc
• G. Michael Pilcher, Inc.
• Ashley Gable, PHARMD

• Sports Medicine (Family Medicine) Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Sports Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.