LARRY CHAD FULLER STUDENT NPI 1912360421

NPI Information

  • NPI: 1912360421
  • Provider Name: LARRY CHAD FULLER, STUDENT
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1600 SW ARCHER RD
    GAINESVILLE, FL
    ZIP 32610
  • Phone: (352) 265-0291

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NPI Details

Larry Chad Fuller, STUDENT is a diagnostic radiology radiology in Gainesville, FL with 10 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Larry Chad Fuller, STUDENT NPI is 1912360421. 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:

1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610-360
Phone: (352) 265-0291

The NPI 1912360421 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Injection, gadobenate dimeglumine (multihance), per ml (HCPCS:A9577)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Imaging of urinary tract with injection of contrast into a vein (HCPCS:74400)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hip, minimum of 4 views (HCPCS:73503)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of chest with contrast (HCPCS:71260)

The enumeration date for this NPI number is 4/1/2016 and was last updated on 10/1/2025.

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
12085R0202XRadiologyDiagnostic Radiology0102209072VIRGINIANo
22085R0202XRadiologyDiagnostic Radiology1322733GEORGIANo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
42085R0202XRadiologyDiagnostic RadiologyOS17722FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1110846200MEDICAIDFLORIDA

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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