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BRYAN DALE FULLER M.D.
NPI 1487694790
Obstetrics & Gynecology in Conway, AR

Active since June 07, 2006PECOS Enrolled
625 UNITED DR STE 220, CONWAY, AR 72032(501) 499-8300(501) 379-8428 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2022, Aug 19, 2020 (2 updates tracked since 2020).

About Bryan Dale Fuller M.d. NPPES

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

BRYAN DALE FULLER M.D. (NPI 1487694790) is an individual obstetrics & gynecology provider in Conway, Arkansas, licensed in Arkansas (E4442) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487694790
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameBRYAN DALE FULLERCredential: M.D.
Location Address625 UNITED DR STE 220Conway, AR 72032-7835
Mailing Address625 United Dr Ste 330Conway, AR 72032-7828 · (501) 499-8300 · Fax (501) 379-8428
Phone(501) 499-8300
Fax(501) 379-8428
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateJuly 8, 20222 updates tracked since enumeration
NPPES CertifiedJuly 8, 2022
✔ NPI 1487694790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in AR · E4442
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedSpecialistTaxonomy 174400000X · License E4442 (AR)
625 UNITED DR STE 220, Conway, AR 72032
Open in Google Maps ↗

Other Identifiers 1

Other5N365AR · Blue/cross Provider No.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan Dale Fuller M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72032 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
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 3

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

OMAR YACOB
Internal Medicine (Interventional Cardiology)
625 UNITED DR STE 220
CONWAY, AR 72032
Faulkner County (501) 358-6361
DR. L. PARKER NORRIS M.D.
Internal Medicine (Interventional Cardiology)
625 UNITED DR STE 220
CONWAY, AR 72032
Faulkner County (501) 327-7555
FAHEEMULLAH BEG M.D
Internal Medicine (Cardiovascular Disease)
625 UNITED DR STE 220
CONWAY, AR 72032
Faulkner County (501) 358-6361

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 1487694790. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Bryan Fuller located?

Bryan Fuller practices at 625 United Dr Ste 220, Conway, AR 72032. The listed phone number is (501) 499-8300.

What is Bryan Fuller's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Bryan Fuller enrolled in Medicare?

Yes. Bryan Fuller is registered in the Medicare PECOS enrollment system.

What insurance does Bryan Fuller accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Bryan 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 Bryan Fuller was last updated on July 8, 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.