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DR. BRIAN C FULLER D.O.
NPI 1174608772
Internal Medicine - Cardiovascular Disease in Flagstaff, AZ

Active since October 25, 2006
2000 S THOMPSON ST, FLAGSTAFF, AZ 86001(928) 226-6400(928) 226-6411 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brian C Fuller D.o. NPPES

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

DR. BRIAN C FULLER D.O. (NPI 1174608772) is an individual cardiovascular disease provider in Flagstaff, Arizona, licensed in Arizona (3196) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1174608772
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. BRIAN C FULLERCredential: D.O.
Location Address2000 S THOMPSON STFlagstaff, AZ 86001-8759
Mailing Address2000 S Thompson StFlagstaff, AZ 86001-8759 · (928) 226-6400 · Fax (928) 226-6411
Phone(928) 226-6400
Fax(928) 226-6411
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateMarch 30, 2009
✔ NPI 1174608772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in AZ · 3196
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 3196 (AZ)
2000 S THOMPSON ST, Flagstaff, AZ 86001
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Other Identifiers 2

Medicare PINZ127895AZ
Medicaid387953AZ

Other Providers at the Same Location NPPES 20

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

DR. SARAH LYNN SALCE DNP
Nurse Practitioner (Acute Care)
2000 S THOMPSON ST
FLAGSTAFF, AZ 86001
Coconino County (928) 226-6400
MR. BRUCE A MORTENSEN PA
Physician Assistant
2000 S THOMPSON ST
FLAGSTAFF, AZ 86001
Coconino County (928) 226-6400
BRITTANY DILLEY RDN, CNSC
Dietitian, Registered
2000 S THOMPSON ST
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2084
AMY KATHRYN TAYLOR ACNPC-AG, FNP
Nurse Practitioner (Acute Care)
2000 S THOMPSON ST
FLAGSTAFF, AZ 86001
Coconino County (928) 226-6400
MICHAEL DALE HILBURN FNP-C
Nurse Practitioner (Family)
2000 S THOMPSON ST
FLAGSTAFF, AZ 86001
Coconino County (928) 226-6400
DR. RENZO M CATALDO M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
2000 S THOMPSON ST
FLAGSTAFF, AZ 86001
Coconino County (928) 226-6400
ELISA HILBURN NP
Nurse Practitioner
2000 S THOMPSON ST
FLAGSTAFF, AZ 86001
Coconino County (928) 226-6400
MOUNTAIN HEART CATH LAB
Clinic/Center (Ambulatory Surgical)
2000 S THOMPSON ST
FLAGSTAFF, AZ 86001
Coconino County (928) 226-6400

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 1174608772. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Brian Fuller located?

Brian Fuller practices at 2000 S Thompson St, Flagstaff, AZ 86001. The listed phone number is (928) 226-6400.

What is Brian Fuller's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Brian Fuller was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.