Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY DEAN FULLERTON, M.D.
Deactivated Sole ProprietorDR. BRADLEY DEAN FULLERTON, M.D. is a Physical Medicine & Rehabilitation healthcare provider located in AUSTIN, Texas. NPI 1568463487 is deactivated in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · AUSTIN, TX
This NPI has been deactivated.
The record was deactivated on March 22, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1568463487
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2005 (0.63561643835616 yrs)
- Last Updated
- Feb 5, 2025
- Deactivated
- Mar 22, 2006
- License
-
K3731 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2714 BEE CAVES RDSUITE 106AUSTIN, TX, 787465677Browse TX providers · Browse ZIP 78746
- Phone
- 5123477246
- Fax
- 5123477245
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Other Physical Medicine & Rehabilitation Providers in AUSTIN, TX
| Name | Credential | NPI |
|---|---|---|
| JOHN P. OBERMILLER | M.D. | 1831191972 |
| BRIAN C. BUCK | M.D. | 1396747473 |
| MARIA ELENA ARIZMENDEZ | MD | 1194702423 |
| MARK D BOGAR | M.D. | 1235100462 |
| ALBERT CSABA MOLNAR | M.D. | 1134190366 |
| DR. JUAN M. LATORRE | M.D. | 1841269263 |
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.