Timothy Brandon Fuller, PRIMARY BENEFICIARY

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Practice address

PO Box 843835
Dallas, TX 75284-3835

Phone

(214) 670-4624

NPI assigned

Jan 17, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• City of Dallas

  • Chore Provider
  • Dallas, TX
  • NPI 1952258220
  NPD (past) Authorized official
• City of Dallas

  • Land Ambulance
  • Dallas, TX
  • NPI 1861530990
  NPD (past)

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

{
    "created_epoch": "1768608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1851250757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 FULLER AVE",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760317602",
            "telephone_number": "706-294-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 843835",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752843835",
            "telephone_number": "214-670-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "TIMOTHY",
        "middle_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "PRIMARY BENEFICIARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-17",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177467101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75-6000508",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P00279651",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Caroline Fuller
• Michelle L Fuller, NPC
• Natasha Lachine Fuller, MBA, QMHP-CS, PSS
• Stephanie Renee Fuller, MS, FNP-C
• Timothy Fuller, MD
• Fulllife Medical Supply
• Kylie Jeannine Fullner, DPT
• James Mark Fulmer, MD
• Rita Fulmer, FNPC
• Debra L Fulton, LPC

• Health Maintenance Organization in Dallas, TX
• Providers in Dallas, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.