Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WILLIAM ALLEN FULLER JR. MD
NPI 1225006489
Surgery in South Boston, VA

Active since March 14, 2006
2212 WILBORN AVE, SOUTH BOSTON, VA 24592(434) 572-8921(434) 572-2063 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William Allen Fuller Jr. Md NPPES

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

WILLIAM ALLEN FULLER JR. MD (NPI 1225006489) is an individual surgery provider in South Boston, Virginia, licensed in Virginia (0101023878) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1225006489
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameWILLIAM ALLEN FULLER JR.Credential: MD
Location Address2212 WILBORN AVESouth Boston, VA 24592-1630
Mailing Address2212 Wilborn AveSouth Boston, VA 24592-1630 · (434) 572-8921 · Fax (434) 572-2063
Fax(434) 572-2063
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1225006489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in VA · 0101023878
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2212 WILBORN AVE, South Boston, VA 24592

Other Identifiers 2

Other003685VA · Bcbs
Other16829VA · Optima

Other Providers at the Same Location NPPES 8

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

Obstetrics & Gynecology
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Nurse Practitioner (Pediatrics)
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Clinic/Center (Ambulatory Surgical)
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Nurse Practitioner (Family)
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Obstetrics & Gynecology
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Obstetrics & Gynecology
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Obstetrics & Gynecology
2212 WILBORN AVE
SOUTH BOSTON, VA 24592
Nurse Practitioner
2212 WILBORN AVE
SOUTH BOSTON, VA 24592

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 William Fuller's NPI number?

The NPI number for William Fuller is 1225006489. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is William Fuller located?

William Fuller practices at 2212 Wilborn Ave, South Boston, VA 24592. The listed phone number is (434) 572-8921.

What is William Fuller's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for William Fuller was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.