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DR. BRAD LYLE FULKERSON D.M.D.
NPI 1700094158
Dentist - General Practice in Amesbury, MA

Active since May 18, 2007Opted out of Medicare · through Feb 29, 2028
41 SPARHAWK ST, AMESBURY, MA 01913(978) 388-3505 Get Directions Write a Review

NPPES record last updated: June 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brad Lyle Fulkerson D.m.d. NPPES

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

DR. BRAD LYLE FULKERSON D.M.D. (NPI 1700094158) is an individual general practice provider in Amesbury, Massachusetts, licensed in Massachusetts (DN21905) and active in the NPI registry since May 2007. He has opted out of Medicare through February 29, 2028 and remains eligible to order and refer and maintains a secondary practice location in Fall River.

NPPES Registry Identity

NPI1700094158
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRAD LYLE FULKERSONCredential: D.M.D.
Location Address41 SPARHAWK STAmesbury, MA 01913
Mailing Address25 Washington RdRye, NH 03870-2439 · (617) 571-6951
Phone(978) 388-3505
Sole ProprietorNo
Enumeration DateMay 18, 2007
Last NPPES UpdateJune 8, 2018
✔ NPI 1700094158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · DN21905
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 21905 (MA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
41 SPARHAWK ST, Amesbury, MA 01913
Open in Google Maps ↗

Secondary Practice Location 1

Location 11535 South Main StFall River, MA 02724 · Phone (508) 235-0488

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Brad Lyle Fulkerson D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 28, 2016 through February 29, 2028.

Opt-Out Effective DateFebruary 28, 2016
Opt-Out In Effect ThroughFebruary 29, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01913 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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

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

HENRY G. CHENEY JR., D.M.D., P.C.
Dentist
41 SPARHAWK ST
AMESBURY, MA 01913
Essex County (978) 388-3505

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 Brad Fulkerson's NPI number?

The NPI number for Brad Fulkerson is 1700094158. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Brad Fulkerson located?

Brad Fulkerson practices at 41 Sparhawk St, Amesbury, MA 01913. The listed phone number is (978) 388-3505.

What is Brad Fulkerson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Brad Fulkerson enrolled in Medicare?

No. Brad Fulkerson has opted out of Medicare through February 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Brad Fulkerson accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Brad Fulkerson 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 Brad Fulkerson was last updated on June 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.