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DR. BRIAN JAY FULLER D.C.
NPI 1073556544
Chiropractor - Nutrition in Oak Park, IL

Active since June 13, 2006
1010 LAKE ST STE 400, OAK PARK, IL 60301(708) 705-9494(708) 221-7108 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Brian Jay Fuller D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN JAY FULLER D.C. (NPI 1073556544) is an individual nutrition provider in Oak Park, Illinois, licensed in Illinois (038010329) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1073556544
Entity TypeIndividualMale
Primary Taxonomy111NN1001X
Provider Legal NameDR. BRIAN JAY FULLERCredential: D.C.
Location Address1010 LAKE ST STE 400Oak Park, IL 60301-1135
Mailing Address1010 Lake St Ste 400Oak Park, IL 60301-1135 · (708) 705-9494 · Fax (708) 221-7108
Phone(708) 705-9494
Fax(708) 221-7108
Sole ProprietorYes
Enumeration DateJune 13, 2006
Last NPPES UpdateDecember 11, 2020
NPPES CertifiedDecember 11, 2020
✔ NPI 1073556544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · NutritionChiropractic Providers
Taxonomy Code111NN1001X
License✔ Licensed in IL · 038010329
Definition
Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient's prescription and over the counter medications are recorded and analyzed.
1010 LAKE ST STE 400, Oak Park, IL 60301
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brian Jay Fuller D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Brian Fuller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bhealth LLC
Same address
Physical Therapist
1010 LAKE ST STE 400
Oak Park, IL 60301
  • Reassigned Medicare billing, Illinois enrollment
  • 10 clinicians in this Medicare group
NPI 1285217034 (312) 801-0318

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNAH NIKOLICH DPT
Physical Therapist
1010 LAKE ST STE 400
OAK PARK, IL 60301
Cook County (312) 801-0318
BHEALTH LLC
Physical Therapist
1010 LAKE ST STE 400
OAK PARK, IL 60301
Cook County (312) 801-0318
FULLER HEALTH GROUP SC
Chiropractor
1010 LAKE ST STE 400
OAK PARK, IL 60301
Cook County (312) 801-0318
MINAKSHI ACHARYA
Health and Wellness Coach
1010 LAKE ST STE 400
OAK PARK, IL 60301
Cook County (312) 801-0318

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Fuller's NPI number?

The NPI number for Brian Fuller is 1073556544. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Brian Fuller located?

Brian Fuller practices at 1010 Lake St Ste 400, Oak Park, IL 60301. The listed phone number is (708) 705-9494.

What is Brian Fuller's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Nutrition, with taxonomy code 111NN1001X.

Is Brian Fuller enrolled in Medicare?

Yes. Brian Fuller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brian Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Fuller reassigns Medicare benefits to Bhealth LLC (Oak Park, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Fuller was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.