BRYAN D FULLER MD PA NPI 1184233173

NPI Information

  • NPI: 1184233173
  • Provider Name: BRYAN D FULLER MD PA
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Doing Business As: NATURAL STATE OBGYN
  • Address: 625 UNITED DR STE 330
    CONWAY, AR
    ZIP 72032
  • Phone: (501) 748-8450

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NPI Details

BRYAN D FULLER MD PA is an obstetrics gynecology in Conway, AR. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BRYAN D FULLER MD PA NPI is 1184233173. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Natural State Obgyn.

The provider's business location address is:

625 UNITED DR STE 330
CONWAY, AR
ZIP 72032-828
Phone: (501) 748-8450
Fax: (501) 379-8428

The provider's authorized official is Jennifer Smith .
The authorized official title is Administrator and has the following contact phone number (501) 748-8450.

The enumeration date for this NPI number is 7/27/2020 and was last updated on 7/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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