BRENT N FULTON M.D.
NPI 1194708495
Family Medicine - Sports Medicine in Ormond Beach, FL

Q: What is Brent Fulton's NPI number?

The NPI number for Brent Fulton is 1194708495. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Q: What is Brent Fulton's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Brent Fulton was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment

873 HULL RD UNIT 12, ORMOND BEACH, FL 32174(386) 267-2965(386) 603-6007 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 20, 2024, Mar 1, 2019 (2 updates tracked since 2019).

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About Brent N Fulton M.d. NPPES

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

BRENT N FULTON M.D. (NPI 1194708495) is an individual sports medicine provider in Ormond Beach, Florida, licensed in Florida (ME94759) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Daytona Beach, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1194708495

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameBRENT N FULTONCredential: M.D.

Location Address873 HULL RD UNIT 12Ormond Beach, FL 32174

Mailing Address873 Hull Rd Unit 12Ormond Beach, FL 32174 · (386) 267-2965 · Fax (386) 603-6007

Phone(386) 267-2965

Fax(386) 603-6007

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateNovember 21, 2005

Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration

✔ NPI 1194708495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in FL · ME94759

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License ME94759 (FL)

873 HULL RD UNIT 12, Ormond Beach, FL 32174

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brent N Fulton M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486730066

PECOS Enrollment IDI20080324000224

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Brent Fulton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trident Sports Medicine And Rehabilitation Inc.

Same address

Sports Medicine

873 HULL RD UNIT 12
Ormond Beach, FL 32174

Reassigned Medicare billing, Florida enrollment
8 clinicians in this Medicare group

NPI 1811766637 (386) 267-2965

Fulton Sports Medicine LLC

Same address

Sports Medicine

873 HULL RD UNIT 12
Ormond Beach, FL 32174

Reassigned Medicare billing, Florida enrollment

NPI 1801727441 (386) 267-2965

Halifax Healthcare Systems Inc

8.9 mi

Family Medicine

303 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114

Reassigned Medicare billing, Florida enrollment
786 clinicians in this Medicare group

NPI 1245283530 (386) 254-4000

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

1,055 services55 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

435 services186 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

268 services138 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

157 services157 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

35 services11 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

34 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100068

Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County

Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100118

Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32174 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ANCHOR HEALTH AND WELLNESS LLC

Clinic/Center (Primary Care)

873 HULL RD UNIT 12
ORMOND BEACH, FL 32174

Flagler County (586) 925-3600

FULTON SPORTS MEDICINE LLC

Family Medicine (Sports Medicine)

873 HULL RD UNIT 12
ORMOND BEACH, FL 32174

Flagler County (386) 267-2965

TRIDENT SPORTS MEDICINE AND REHABILITATION INC.

Family Medicine (Sports Medicine)

873 HULL RD UNIT 12
ORMOND BEACH, FL 32174

Flagler County (386) 267-2965

WHITTNEY LYNCH NP

Nurse Practitioner (Primary Care)

873 HULL RD UNIT 12
ORMOND BEACH, FL 32174

Flagler County (586) 925-3360

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 Brent Fulton's NPI number?

The NPI number for Brent Fulton is 1194708495. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Brent Fulton located?

Brent Fulton practices at 873 Hull Rd Unit 12, Ormond Beach, FL 32174. The listed phone number is (386) 267-2965.

What is Brent Fulton's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Brent Fulton enrolled in Medicare?

Yes. Brent Fulton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Brent Fulton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brent Fulton reassigns Medicare benefits to 3 organizations: Trident Sports Medicine And Rehabilitation Inc. (Ormond Beach, FL), Fulton Sports Medicine LLC (Ormond Beach, FL) and Halifax Healthcare Systems Inc (Daytona Beach, FL). Each 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 Brent Fulton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brent Fulton accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Brent Fulton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brent Fulton affiliated with any hospitals?

According to CMS data, Brent Fulton is affiliated with Adventhealth Daytona Beach and Florida Hospital Flagler.

When was this NPI record last updated?

The NPPES record for Brent Fulton was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.