Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN G. FULLER, M.D.
ActiveBRIAN G. FULLER, M.D. is a Radiation Oncology healthcare provider located in COOS BAY, Oregon. NPI 1396834412 is currently active in the NPPES registry. Verify at CMS.
Radiation Oncology · COOS BAY, OR
Registration Details
- NPI Number
- 1396834412
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2006 (19.864400714647 yrs)
- Last Updated
- Dec 27, 2023
- Licenses
-
49432 (CO)MD186291 (OR)MD2023-0362 (NM)
Practice Information
- Address
-
1775 THOMPSON RDCOOS BAY, OR, 974202125Browse OR providers · Browse ZIP 97420
- Phone
- 5412698520
- Fax
- 5412675083
- Primary Specialty
-
Radiation Oncology
2085R0001X
- Additional Specialty
- Radiation Oncology
- Additional Specialty
- Radiation Oncology
Other Radiation Oncology Providers in COOS BAY, OR
| Name | Credential | NPI |
|---|---|---|
| DR. CARL RYDELL JENSON | MD | 1659317097 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.