Thomas Drew Fulfer, COLO

Primary specialty

OrthotistTaxonomy code 222Z00000X

Practice address

804 Brook Ave
Wichita Falls, TX 76301-4209

Phone

(940) 234-5347

Fax

(580) 699-8692

NPI assigned

Dec 4, 2019

Last updated

Dec 4, 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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meyers Brace & Limb Co., Inc.

  • Prosthetic/Orthotic Supplier
  • Wichita Falls, TX
  • NPI 1881715860

  Orthotist

  NPD (past)

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1881231280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013648",
            "telephone_number": "580-699-8690",
            "fax_number": "580-699-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014209",
            "telephone_number": "940-234-5347",
            "fax_number": "580-699-8692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1915 W Gore Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735013648",
            "country_code": "US",
            "telephone_number": "580-699-8690 x58069",
            "fax_number": "580-699-8692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULFER",
        "first_name": "THOMAS",
        "middle_name": "DREW",
        "credential": "COLO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Frischer, M.D.
• John Richard Fritzsch, P.T.
• Sarah Ann Fritzsch, D.D.S.
• Angelique Frunzi
• Ya Wen Fuh, MD
• Dylan Todd Fulford, PA-C
• Amanda Rae Fulmer
• Christy S Funk, PA-C
• G & H Drugs, LLC (Fallstown Pharmacy)
• Josane C. a. Gabriel, M.D.

• Orthotist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Orthotist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.