Brad Edward Fuller, MD

Pediatrics Physician · Westerville, OH

Individual Active NPI

NPI number 1104068949

Practice location

625 Africa Rd Ste 300
Westerville, OH 43082-9830
Phone
(614) 882-9460
Fax
(614) 882-9802

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NPI record

NPI
1104068949
Entity type
Individual (Type 1)
Enumeration date
March 25, 2009
Last updated
October 31, 2023
Certified
October 31, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 35.096344 OH

About Dr. Fuller

Brad Edward Fuller, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 625 Africa Rd Ste 300, Westerville, OH 43082-9830. The NPI number 1104068949 was assigned on March 25, 2009 and the record was last updated on October 31, 2023.

Dr. Fuller lists a license in the registry: #35.096344 (OH) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brad Edward Fuller, MD?

The NPI number is 1104068949.

What is the phone number of Dr. Fuller?

The phone number listed for the practice location is (614) 882-9460.

Where is Dr. Fuller located?

625 Africa Rd Ste 300, Westerville, OH 43082-9830.

What is the taxonomy code for Dr. Fuller?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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