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BRUCE E. FULLER, M.D, PLLC
NPI 1386808376
Specialist in Newport News, VA

Active since July 18, 2008
12695 MCMANUS BLVD, BLDG 3, SUITE B, NEWPORT NEWS, VA 23602(757) 872-7787(757) 872-7727 Get Directions Write a Review

NPPES record last updated: July 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bruce E. Fuller, M.d, Pllc NPPES

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

BRUCE E. FULLER, M.D, PLLC (NPI 1386808376) is a healthcare organization registered as a specialist in Newport News, Virginia and active in the NPI registry since July 2008. The organization lists Bruce Evans Fuller, Dermatologist, as its authorized official.

NPPES Registry Identity

NPI1386808376
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBRUCE E. FULLER, M.D, PLLC
Location Address12695 MCMANUS BLVD, BLDG 3, SUITE BNewport News, VA 23602-4435
Mailing AddressPo Box 2579Newport News, VA 23609-0579
Phone(757) 872-7787
Fax(757) 872-7727
Organization SubpartNo
Authorized OfficialBruce Evans FullerDermatologist · (757) 872-7787
Enumeration DateJuly 18, 2008
✔ NPI 1386808376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 0101045701
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
12695 MCMANUS BLVD, Newport News, VA 23602
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

KENT E. WILLYARD MD
Family Medicine
12695 MCMANUS BLVD, BLDG 6, SUITE A
NEWPORT NEWS, VA 23602
Newport News City (757) 969-1755
JOHN FRANCIS HAVRILLA LCSW
Social Worker (Clinical)
12695 MCMANUS BLVD, BLD 8
NEWPORT NEWS, VA 23602
Newport News City (757) 877-7700
ALISON MASCALO PH.D.
Psychologist (Clinical)
12695 MCMANUS BLVD, BLDG. 8
NEWPORT NEWS, VA 23602
Newport News City (757) 877-7700
DR. WALTON LOUIS BOLGER DMD
Dentist
12695 MCMANUS BLVD, BLDG 4 SUITE A
NEWPORT NEWS, VA 23602
Newport News City (757) 877-1999
A TO Z FAMILY FOOTCARE
Podiatrist
12695 MCMANUS BLVD, SUITE 1D
NEWPORT NEWS, VA 23602
Newport News City (757) 561-8671
AARON GLENN GOULD D.P.M.
Podiatrist (Foot & Ankle Surgery)
12695 MCMANUS BLVD, SUITE 1-D
NEWPORT NEWS, VA 23602
Newport News City (757) 561-8671
ROSE J CLOUD MD
Pediatrics
12695 MCMANUS BLVD, SUITE 1 C
NEWPORT NEWS, VA 23602
Newport News City (757) 988-0085
MS. SHERYL G ROEMER RDM
Dental Hygienist
12695 MCMANUS BLVD, SUITE 3A
NEWPORT NEWS, VA 23602
Newport News City (757) 898-6060

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 Bruce E. Fuller, M.D, PLLC's NPI number?

The NPI number for Bruce E. Fuller, M.D, PLLC is 1386808376. It was assigned to this organization in the NPPES registry on July 18, 2008.

Where is Bruce E. Fuller, M.D, PLLC located?

Bruce E. Fuller, M.D, PLLC is located at 12695 Mcmanus Blvd Bldg 3, Suite B, Newport News, VA 23602. The listed phone number is (757) 872-7787.

What is Bruce E. Fuller, M.D, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Bruce E. Fuller, M.D, PLLC was last updated on July 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.