David William Fulford, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

102636 Issued in NC

Practice address

3713 University Dr
Ste B
Durham, NC 27707-6202

Phone

(919) 401-6212

Fax

(919) 401-4170

NPI assigned

Jul 31, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

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.

• DLP Wilson Physician Practices LLC

  • Family Medicine Physician
  • Wilson, NC
  • NPI 1932521010

  Physician Assistant

  NPD (past)
• Triangle Neuropsychiatry, PLLC

  • Psychiatry Physician
  • Durham, NC
  • NPI 1710191069
  NPD (past)
• Tidewater Physicians Multispecialty Group PC

  • Ambulatory Surgical Clinic/Center
  • Williamsburg, VA
  • NPI 1316790512
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220313600000",
    "number": "1811903016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 UNIVERSITY DR",
            "address_2": "STE B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076202",
            "telephone_number": "919-401-6212",
            "fax_number": "919-401-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 UNIVERSITY DR",
            "address_2": "STE B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076202",
            "telephone_number": "919-401-6212",
            "fax_number": "919-401-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULFORD",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommy Fu, M.D.
• Herbert Fuchs, M.D.
• Marat Fudim, M.D.
• Andres Eduardo Fuenmayor Mago, MD
• Kristen Fulcher, MPH, RD, LDN
• D'Ericka L Fulgham-Artis
• Conrad Carnes Fulkerson, M.D.
• Katherine Cynthia Fulkerson, PHD
• William Fulkerson, M.D.
• Full Potential Behavioral Health Care, Inc.

• Physician Assistant in Durham, NC
• Providers in Durham, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; 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.