Dell Arthur Fuller, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4073 Issued in MT

Practice address

935 Highland Blvd
Suite 2210
Bozeman, MT 59715-6904

Phone

(406) 587-3133

Fax

(406) 586-9671

NPI assigned

Sep 13, 2006

Last updated

Nov 17, 2009By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1841395134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 HIGHLAND BLVD",
            "address_2": "SUITE 2210",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156904",
            "telephone_number": "406-587-3133",
            "fax_number": "406-586-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 HIGHLAND BLVD",
            "address_2": "SUITE 2210",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156904",
            "telephone_number": "406-587-3133",
            "fax_number": "406-586-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "DELL",
        "middle_name": "ARTHUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "4073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0042536",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080026830",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Fritz, MD
• Melissa Dee Frost, LCPC
• Nicole Frost, LCPC
• Daniel T. Kael Fry, MS, MFT
• Brian J Frykman, PAC
• Marcus Mitchell Fuller, LAC , LMT, MACOM
• Mackenzie Fulleton, LCSW
• Eugenia Foy Funk, PH.D.
• Donald C Funke, D.C.
• Karen Furu, LCPC

• Family Medicine Physician in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.