Bradbury Fuller (NPI# 1922039619, PAC ID# 8022039536) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1922039619 |
| PAC ID by PECOS | 8022039536 |
| Professional Enrollment ID | I20090113000004 |
| Full Name | Bradbury Fuller |
| Address |
1019 Wicker St Ticonderoga NY 12883-1039 |
| Phone Number | 5185853727 |
| Gender | M |
| Credential | MD |
| Medical School | CORNELL UNIVERSITY MEDICAL COLLEGE |
| Graduation Year | 1982 |
| Primary Specialty | GENERAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 471307 | PORTER HOSPITAL, INC |
| 470003 | UNIVERSITY OF VERMONT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1019 Wicker St, Ticonderoga, NY 12883-1039 | 5185853727 |
| Street Address |
1019 WICKER ST |
| City | TICONDEROGA |
| State | NY |
| Zip | 12883-1039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jan E Duus | Hematology/oncology | Lake Champlain Physician Services | 1019 Wicker St, Ticonderoga, NY 12883-1039 |
| James S Kenney | Diagnostic Radiology | Associates In Radiology of Plattsburgh Ny PC | 1019 Wicker St, Ticonderoga, NY 12883-1039 |
| Eric B Herskowitz | Diagnostic Radiology | Associates In Radiology of Plattsburgh Ny PC | 1019 Wicker St, Ticonderoga, NY 12883-1039 |
| Curt M Snyder | Diagnostic Radiology | Associates In Radiology of Plattsburgh Ny PC | 1019 Wicker St, Ticonderoga, NY 12883-1039 |
| Wolodymyr I Bula | Diagnostic Radiology | Associates In Radiology of Plattsburgh Ny PC | 1019 Wicker St, Ticonderoga, NY 12883-1039 |
| Albert M Imobersteg | Orthopedic Surgery | Lake Champlain Physician Services | 1019 Wicker St, Ticonderoga, NY 12883-1039 |
| Jeffrey J Buran | Diagnostic Radiology | Associates In Radiology of Plattsburgh Ny PC | 1019 Wicker St, Ticonderoga, NY 12883-1039 |
| Michael E Phillips | Diagnostic Radiology | Associates In Radiology of Plattsburgh Ny PC | 1019 Wicker St, Ticonderoga, NY 12883-1039 |
| Anthony G Conti | Diagnostic Radiology | Associates In Radiology of Plattsburgh Ny PC | 1019 Wicker St, Ticonderoga, NY 12883-1039 |
| Toni Marie Sturm | Internal Medicine | Moses Ludington Hospital | 1019 Wicker St, Ticonderoga, NY 12883-1039 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jan M Guffey | Chiropractic | 121 Montcalm St, Ticonderoga, NY 12883-1342 | |
| Wendy L Bresett | Physical Therapy | 84 Montcalm St, Suite 5, Ticonderoga, NY 12883-1361 | |
| Glen D Chapman | Family Medicine | Hudson Headwaters Health Network | 102 Race Track Rd, Suite 1, Ticonderoga, NY 12883-4004 |
| Michael J Rumbutis | Physician Assistant | Hudson Headwaters Health Network | 102 Race Track Rd, Suite 1, Ticonderoga, NY 12883-4004 |
| Jill Marie Geoffrion | Physician Assistant | Hudson Headwaters Health Network | 102 Race Track Rd, Ticonderoga, NY 12883-4004 |
| Ephraim E Back | Family Medicine | Hudson Headwaters Health Network | 102 Race Track Rd, Suite 1, Ticonderoga, NY 12883-4004 |
| Elizabeth Anderson | Nurse Practitioner | Hudson Headwaters Health Network | 102 Race Track Rd, Suite 1, Ticonderoga, NY 12883-4004 |
| Loren M Allen | Nurse Practitioner | Hudson Headwaters Health Network | 102 Race Track Rd, Suite 1, Ticonderoga, NY 12883-4004 |
| Dennis S O'brien | Internal Medicine | Hudson Headwaters Health Network | 102 Race Track Rd, Suite 1, Ticonderoga, NY 12883-4004 |
| Janine Nicole Gadjo | Nurse Practitioner | Hudson Headwaters Health Network | 102 Race Track Rd, Suite 1, Ticonderoga, NY 12883-4004 |
| Find all physicians in zip 12883 | |||
| City | TICONDEROGA |
| Zip Code | 12883 |
| Specialty | GENERAL SURGERY |
| City + Specialty | TICONDEROGA + GENERAL SURGERY |
Please comment or provide details below to improve the information on Bradbury 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.