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DR. STANLEY BRIAN FULLER M.D.
NPI 1437119302
Colon & Rectal Surgery in Winston Salem, NC

Active since March 24, 2006
2825 LYNDHURST AVE, STE 101, WINSTON SALEM, NC 27103(336) 277-4075(336) 277-4095 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 3, 2023, Mar 7, 2023, Oct 28, 2020 (3 updates tracked since 2020).

About Dr. Stanley Brian Fuller M.d. NPPES

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

DR. STANLEY BRIAN FULLER M.D. (NPI 1437119302) is an individual colon & rectal surgery provider in Winston Salem, North Carolina, licensed in North Carolina (34605) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1437119302
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. STANLEY BRIAN FULLERCredential: M.D.
Location Address2825 LYNDHURST AVE, STE 101Winston Salem, NC 27103-4146
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 277-4075 · Fax (336) 277-4095
Phone(336) 277-4075
Fax(336) 277-4095
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateJuly 3, 20233 updates tracked since enumeration
NPPES CertifiedJuly 3, 2023
✔ NPI 1437119302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in NC · 34605
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License 34605 (NC)
2825 LYNDHURST AVE, Winston Salem, NC 27103
Open in Google Maps ↗

Other Identifiers 3

Medicaid1437119302VA
Other34605NC · Nc Llicense
Medicaid8934129NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
86%42 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
34%82 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
41%95 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
34%41 patients2/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
2%43 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. DAVID MARK STAUFFER DPM PLLC
Podiatrist (Foot & Ankle Surgery)
2825 LYNDHURST AVE, SUITE 105
WINSTON-SALEM, NC 27103
Forsyth County (336) 768-3305
MS. PATRICIA KAL SAUTER ACNP
Nurse Practitioner
2825 LYNDHURST AVE, STE 101
WINSTON SALEM, NC 27103
Forsyth County (336) 277-4050
DAVID SINDRAM M.D
Surgery
2825 LYNDHURST AVE, STE 101
WINSTON SALEM, NC 27103
Forsyth County (336) 277-4050
DR. ROODABEH SAMIMI D.P.M.
Podiatrist (Foot & Ankle Surgery)
2825 LYNDHURST AVE, SUITE 105
WINSTON SALEM, NC 27103
Forsyth County (336) 277-6550

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 Stanley Fuller's NPI number?

The NPI number for Stanley Fuller is 1437119302. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Stanley Fuller located?

Stanley Fuller practices at 2825 Lyndhurst Ave Ste 101, Winston Salem, NC 27103. The listed phone number is (336) 277-4075.

What is Stanley Fuller's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

What insurance does Stanley Fuller accept?

Health plans from Blue Cross and Blue Shield of NC list Stanley Fuller 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.

When was this NPI record last updated?

The NPPES record for Stanley Fuller was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.