Active NPI
Chere Lynn Fulmer, MD
- Internal Medicine Physician
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 00027069
- Practice address
- 2055 E South Blvd
Montgomery, AL 36116-2001 - Phone
- (334) 286-2390
- Fax
- (334) 286-2397
- NPI assigned
- May 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 00027069 | AL | Primary |
Addresses
Primary practice location
2055 E South Blvd
Montgomery, AL 36116-2001
Mailing address
2055 E South Blvd
Montgomery, AL 36116-2003
Phone (334) 286-2390
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203204949 | Other | AL | UNITED HEALTHCARE |
| 009938457 | Medicaid | AL | |
| 203204949 | Other | AL | COMMERICIAL PRV |
| 203204949 | Other | AL | COMMERICIAL GRP |
| 203204949 | Other | AL | WORKMAN COMP |
| P00384687 | Other | AL | RAILROAD MEDICARE |
| 051003798 | Other | AL | BLUE CROSS BLUE SHIELD |
| 203204949 | Other | AL | CHAMPUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00027069 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Centers LLC | Current | Accepting new patients | |
| Baptist Health Centers, LLC | Current | Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Current | Accepting new patients | |
| Baptist Health Centers LLC | Internal Medicine | Current | Accepting new patients |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Internal Medicine | Past | Accepting new patients |
| Inpatient Consultants of Alabama, Inc | Internal Medicine | Past | Accepting new patients |
Locations
1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100
1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849
3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267
Organizations & group practices 6
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.
-
- Health Service Clinic/Center
- Winfield, AL
- NPI 1265496236
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
AL
-
- Specialist
- Talladega, AL
- NPI 1669436721
-
- Internal Medicine Physician
- Talladega, AL
- NPI 1861456923
-
- Internal Medicine Physician
- Montgomery, AL
- NPI 1033534524
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1235238916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1972561769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 E SOUTH BLVD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361162003",
"telephone_number": "334-286-2390",
"fax_number": "334-286-2397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 E SOUTH BLVD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361162001",
"telephone_number": "334-286-2390",
"fax_number": "334-286-2397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULMER",
"first_name": "CHERE",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "00027069",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "203204949",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009938457",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERICIAL PRV",
"identifier": "203204949",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERICIAL GRP",
"identifier": "203204949",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKMAN COMP",
"identifier": "203204949",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00384687",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "051003798",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "203204949",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.