Optimal Man, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

OPTIMAL MAN, PLLC

Practice address

1270 25TH Street PL SE Ste 1
Hickory, NC 28602-9657

Phone

(828) 220-3190

NPI assigned

Nov 27, 2023

Last updated

Nov 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryan Fulkersin, FNP-CNPI 1376990457

Title

Owner

Phone

(910) 228-7538

Specialties & licenses 1

Addresses

Other names 1

• Optimal Man Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan Fulkersin, FNP-C

  • Family Nurse Practitioner
  • Hickory, NC
  • NPI 1376990457
  NPD Authorized official

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1841066362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 25TH STREET PL SE STE 1",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286029657",
            "telephone_number": "828-220-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 25TH STREET PL SE STE 1",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286029657",
            "telephone_number": "828-220-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL MAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "FULKERSIN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-228-7538",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Man",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Optimal Man",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinic/Center in Hickory, NC
• Providers in Hickory, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.