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DOUGLAS CONRAD FULLER M.D. MPH NPI 1649268533


NPI Information

NPI: 1649268533
Provider Name: DOUGLAS CONRAD FULLER, M.D., MPH
Classification: Preventive Medicine - 2083X0100X
Entity Type: Individual

Specialization: Occupational Medicine

PECOS Registration: Yes

Address:
4311 CARSWELL AVE BLDG 340
NELLIS AFB, NV
ZIP 89191
Phone: (702) 653-3431
Get Directions

Douglas Conrad Fuller, M.D., MPH is an occupational medicine preventive medicine in Nellis Afb, NV. The provider is occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. Douglas Conrad Fuller, M.D., MPH NPI is 1649268533. 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:

4311 CARSWELL AVE BLDG 340
NELLIS AFB, NV
ZIP 89191-069
Phone: (702) 653-3431
Fax: (702) 653-3591

The NPI 1649268533 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2005 and was last updated on 3/11/2021.


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
12083X0100XPreventive MedicineOccupational Medicine358526-1205UTAHYes
22083X0100XPreventive MedicineOccupational Medicine18972NEVADANo

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.