Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRYAN CARROLL FULLER, CPO
Active Sole ProprietorMR. BRYAN CARROLL FULLER, CPO is a Orthotist healthcare provider located in CHARLOTTESVILLE, Virginia. NPI 1487089124 is currently active in the NPPES registry. Verify at CMS.
Orthotist · CHARLOTTESVILLE, VA
Registration Details
- NPI Number
- 1487089124
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2013 (12.878262668984 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
1298 (DE)1298 (DE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
612 RIO RD W STE 5CHARLOTTESVILLE, VA, 229011412Browse VA providers · Browse ZIP 22901
- Phone
- 4345298882
- Fax
- 4345298882
- Primary Specialty
-
Orthotist
222Z00000X
- Additional Specialty
- Orthotist
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.