Douglas B Fullerton, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H5770 Issued in TX

Practice address

6250 Regional PLZ
Suite 1010
Abilene, TX 79606-5262

Phone

(325) 428-5519

Fax

(325) 428-5519

NPI assigned

Dec 21, 2006

Last updated

Jul 17, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: dfullert@yourcarecommunity.org

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.

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  • NPI 1902856107
  NPD (past)
• Emcare-Dtxemergency Physicians PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1285709600
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1831253863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 REGIONAL PLZ",
            "address_2": "SUITE 875",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065251",
            "telephone_number": "325-691-1899",
            "fax_number": "325-691-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 REGIONAL PLZ",
            "address_2": "SUITE 1010",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065262",
            "telephone_number": "325-428-5519",
            "fax_number": "325-428-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLERTON",
        "first_name": "DOUGLAS",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H5770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawnta Fry, RN
• Marius Cevin Fryer, PHARMD
• Lori Denise Frymire, P.T.
• Irene Fuentes, LCSW
• Charles W Fuller, M.D.
• Tiffany Anne Fullerton
• Dale A Funk, M.D.
• Glen G Funkey, PT, DPT
• Kelly Raye Fussell, FNP
• G.R.I.T. Home Care Services LLC (Home Instead)

• Family Medicine Physician in Abilene, TX
• Providers in Abilene, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.