Bradley D Fuller (NPI# 1083652564, PAC ID# 1850330861) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1083652564 |
| PAC ID by PECOS | 1850330861 |
| Professional Enrollment ID | I20050428001097 |
| Full Name | Bradley D Fuller |
| Organization Legal Name | FULLER FAMILY MEDICINE, PC |
| Address |
4045 Ave B Billings MT 59106-1738 |
| Phone Number | 4066904997 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1557533312 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 270049 | ST VINCENT HEALTHCARE |
| 270004 | BILLINGS CLINIC |
| Address | Phone | Organization |
|---|---|---|
| 4045 Ave B, Billings, MT 59106-1738 | 4066904997 | FULLER FAMILY MEDICINE, PC |
| Organization Legal Name | FULLER FAMILY MEDICINE, PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy K Ruggles | Physician Assistant | Fuller Family Medicine, PC | 4045 Ave B, Billings, MT 59106-1738 |
| Melissa L Fuller | Nurse Practitioner | Fuller Family Medicine, PC | 4045 Ave B, Billings, MT 59106-1738 |
| Street Address |
4045 AVE B |
| City | BILLINGS |
| State | MT |
| Zip | 59106-1738 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy K Ruggles | Physician Assistant | Fuller Family Medicine, PC | 4045 Ave B, Billings, MT 59106-1738 |
| Melissa L Fuller | Nurse Practitioner | Fuller Family Medicine, PC | 4045 Ave B, Billings, MT 59106-1738 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra J Sheppard | Psychologist, Clinical | 1655 Shiloh Rd, Suite D, Billings, MT 59106-1726 | |
| James T Priddy | Ophthalmology | Ophthalmic Associates of Billings LLC | 4033 Ave B, Billings, MT 59106-1738 |
| Catherine J Olson | Optometry | Ophthalmic Associates of Billings LLC | 4033 Ave B, Billings, MT 59106-1738 |
| Michael H Power | Ophthalmology | Ophthalmic Associates of Billings LLC | 4033 Ave B, Billings, MT 59106-1738 |
| Bryan J Canty | Diagnostic Radiology | Kettering Network Radiologists Inc | 4456 Ridgewood Ln S, Billings, MT 59106-4739 |
| City | BILLINGS |
| Zip Code | 59106 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BILLINGS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Bradley D Fuller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.