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MR. BRYAN CARROLL FULLER CPO NPI 1487089124


NPI Information

NPI: 1487089124
Provider Name: MR. BRYAN CARROLL FULLER, CPO
Classification: Orthotist - 222Z00000X
Entity Type: Individual
Address:
612 RIO RD W STE 5
CHARLOTTESVILLE, VA
ZIP 22901
Phone: (434) 529-8882
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MR. Bryan Carroll Fuller, CPO is an orthotist in Charlottesville, VA. The provider is a health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. MR. Bryan Carroll Fuller, CPO NPI is 1487089124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

612 RIO RD W STE 5
CHARLOTTESVILLE, VA
ZIP 22901-412
Phone: (434) 529-8882
Fax: (434) 529-8882

The enumeration date for this NPI number is 9/12/2013 and was last updated on 3/17/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1224P00000XProsthetist1298DELAWARENo
2222Z00000XOrthotist1298DELAWAREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11215362850MEDICAIDVIRGINIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.