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MR. BRYAN CARROLL FULLER CPO
NPI 1487089124
Orthotist in Charlottesville, VA

Active since September 12, 2013
612 RIO RD W STE 5, CHARLOTTESVILLE, VA 22901(434) 529-8882(434) 529-8882 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018 (2 updates tracked since 2018).

About Mr. Bryan Carroll Fuller Cpo NPPES

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

MR. BRYAN CARROLL FULLER CPO (NPI 1487089124) is an individual orthotist provider in Charlottesville, Virginia, licensed in Delaware (1298) and active in the NPI registry since September 2013. He maintains a secondary practice location in Waynesboro.

NPPES Registry Identity

NPI1487089124
Entity TypeIndividualMale
Primary Taxonomy222Z00000X
Provider Legal NameMR. BRYAN CARROLL FULLERCredential: CPO
Location Address612 RIO RD W STE 5Charlottesville, VA 22901-1412
Mailing Address612 Rio Rd W Ste 5Charlottesville, VA 22901-1412 · (434) 529-8882 · Fax (434) 529-8942
Phone(434) 529-8882
Fax(434) 529-8882
Sole ProprietorYes
Enumeration DateSeptember 12, 2013
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1487089124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Z00000X
License✔ Licensed in DE · 1298
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Also ListedProsthetistTaxonomy 224P00000X · License 1298 (DE)
612 RIO RD W STE 5, Charlottesville, VA 22901
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Secondary Practice Location 1

Location 1200 W 12th StWaynesboro, VA 22980-4771 · Phone (540) 949-9089 · Fax (540) 949-9089

Other Identifiers 1

Medicaid1215362850VA

Other Providers at the Same Location NPPES

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

FULLER'S ORTHOPEDIC
Prosthetic/Orthotic Supplier
612 RIO RD W STE 5
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 529-8882

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 Bryan Fuller's NPI number?

The NPI number for Bryan Fuller is 1487089124. It was assigned to this individual provider in the NPPES registry on September 12, 2013.

Where is Bryan Fuller located?

Bryan Fuller practices at 612 Rio Rd W Ste 5, Charlottesville, VA 22901. The listed phone number is (434) 529-8882.

What is Bryan Fuller's specialty?

The primary specialty registered for this NPI is Orthotist with taxonomy code 222Z00000X.

When was this NPI record last updated?

The NPPES record for Bryan Fuller was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.