Bryan Dale Fuller (NPI# 1487694790, PAC ID# 7315953544) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1487694790 |
| PAC ID by PECOS | 7315953544 |
| Professional Enrollment ID | I20070221000625 |
| Full Name | Bryan Dale Fuller |
| Organization Legal Name | NORTH LITTLE ROCK WOMENS CLINIC PA |
| Address |
3401 Springhill Dr Suite 390 North Little Rock AR 72117-2937 |
| Phone Number | 5018359444 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4981684883 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040036 | BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK |
| 040137 | ST VINCENT MEDICAL CENTER/NORTH |
| 040114 | BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK |
| Address | Phone | Organization |
|---|---|---|
| 3401 Springhill Dr, Suite 390, North Little Rock, AR 72117-2937 | 5018359444 | NORTH LITTLE ROCK WOMENS CLINIC PA |
| Organization Legal Name | NORTH LITTLE ROCK WOMENS CLINIC PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin A Barber | Obstetrics/gynecology | North Little Rock Womens Clinic Pa | 3401 Springhill Dr, Suite 390, North Little Rock, AR 72117-2937 |
| James R Barber Iii | Obstetrics/gynecology | North Little Rock Womens Clinic Pa | 3401 Springhill Dr, Suite 390, North Little Rock, AR 72117-2937 |
| Holly D Cockrum | Obstetrics/gynecology | North Little Rock Womens Clinic Pa | 3401 Springhill Dr, Suite 390, North Little Rock, AR 72117-2937 |
| Street Address |
3401 SPRINGHILL DR SUITE 390 |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip | 72117-2937 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin A Barber | Obstetrics/gynecology | North Little Rock Womens Clinic Pa | 3401 Springhill Dr, Suite 390, North Little Rock, AR 72117-2937 |
| Gregory S Bienvenu | Nephrology | Nephrology Associates Pa | 3401 Springhill Dr, Suite 325, North Little Rock, AR 72117-2945 |
| James R Barber Iii | Obstetrics/gynecology | North Little Rock Womens Clinic Pa | 3401 Springhill Dr, Suite 390, North Little Rock, AR 72117-2937 |
| John M Stair | General Surgery | Pulaski Surgery Clinic Pa | 3401 Springhill Dr, Suite 400, North Little Rock, AR 72117-2928 |
| David Wilson Bevans Iii | General Surgery | Pulaski Surgery Clinic Pa | 3401 Springhill Dr, Suite 400, North Little Rock, AR 72117-2928 |
| Johnathan David Goodwin | Gastroenterology | Gastro Clinics of Arkansas Pllc | 3401 Springhill Dr, Suite 350a, North Little Rock, AR 72117-2927 |
| Jerri S Fant | Surgical Oncology | Central Arkansas Radiation Therapy Inst Inc | 3401 Springhill Dr, Suite 470, North Little Rock, AR 72117-2943 |
| Holly D Cockrum | Obstetrics/gynecology | North Little Rock Womens Clinic Pa | 3401 Springhill Dr, Suite 390, North Little Rock, AR 72117-2937 |
| Omer Khalil | Hematology/oncology | Central Arkansas Radiation Therapy Inst Inc | 3401 Springhill Dr, Suite 490, North Little Rock, AR 72117-2933 |
| Robert T Love | Plastic and Reconstructive Surgery | 3401 Springhill Dr, Suite 345, North Little Rock, AR 72117-2927 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica R Chapin | Occupational Therapy | Arkansas Pain Centers, Ltd | 308 Smokey Ln, North Little Rock, AR 72117-2508 |
| Margaret B Rector | Psychologist, Clinical | Arkansas Pain Centers, Ltd | 308 Smokey Ln, North Little Rock, AR 72117-2508 |
| Butchaiah Garlapati | Physical Medicine and Rehabilitation | Arkansas Pain Centers, Ltd | 308 Smokey Ln, North Little Rock, AR 72117-2508 |
| David C Morse | Chiropractic | Arkansas Pain Centers, Ltd | 308 Smokey Ln, North Little Rock, AR 72117-2508 |
| Dina Elias Dahdal | Physical Medicine and Rehabilitation | Arkansas Pain Centers, Ltd | 308 Smokey Ln, North Little Rock, AR 72117-2508 |
| M Irfan Suleman | Pain Management | Arkansas Pain Centers, Ltd | 308 Smokey Ln, North Little Rock, AR 72117-2508 |
| Crystal N Rainey | Nurse Practitioner | Arkansas Pain Centers, Ltd | 308 Smokey Ln, North Little Rock, AR 72117-2508 |
| Donna F Crowder | Nurse Practitioner | Arkansas Pain Centers, Ltd | 308 Smokey Ln, North Little Rock, AR 72117-2508 |
| William F Hefley Jr. | Orthopedic Surgery | Bowen Hefley Rhodes Stewart Orthopedics, Pa | 4300 Landers Rd, North Little Rock, AR 72117-2525 |
| Matthew W Thornton | Physical Therapy | Bowen Hefley Rhodes Stewart Orthopedics, Pa | 4300 Landers Rd, North Little Rock, AR 72117-2525 |
| Find all physicians in zip 72117 | |||
| City | NORTH LITTLE ROCK |
| Zip Code | 72117 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | NORTH LITTLE ROCK + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Bryan Dale 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.