DR. BROGAN FULKS MD
NPI 1821522038
Student in an Organized Health Care Education/Training Program in Knoxville, TN

Active since April 13, 2017PECOS EnrolledAccepts Medicare Assignment
1928 ALCOA HWY, POB-B #127, KNOXVILLE, TN 37920(865) 305-8787(865) 305-8261 Get Directions Write a Review

NPPES record last updated: June 21, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 21, 2017, Apr 13, 2017 (2 updates tracked since 2017).

About Dr. Brogan Fulks Md NPPES

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

DR. BROGAN FULKS MD (NPI 1821522038) is an individual student in an organized health care education/training program in Knoxville, Tennessee and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (2017).

NPPES Registry Identity

NPI1821522038
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. BROGAN FULKSCredential: MD
Location Address1928 ALCOA HWY, POB-B #127Knoxville, TN 37920-1502
Mailing Address1928 Alcoa Hwy, Pob-b #127Knoxville, TN 37920-1502 · (865) 305-8787 · Fax (865) 305-8261
Fax(865) 305-8261
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2017
Enumeration DateApril 13, 2017
Last NPPES UpdateJune 21, 20172 updates tracked since enumeration
✔ NPI 1821522038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1928 ALCOA HWY, Knoxville, TN 37920

Other Names 1

Professional Name (2)Dr. Brogan Walters Fulks Md

Other Identifiers 1

Other626001636TN · Parent Organization Tin

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brogan Fulks Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42585275
PECOS Enrollment IDI20210713002473
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brogan Fulks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
1928 ALCOA HWY STE 315
Knoxville, TN 37920
  • Reassigned Medicare billing, Tennessee enrollment
  • 832 clinicians in this Medicare group
Multi-Specialty
1928 ALCOA HWY, BUILDING B, SUITE 127
Knoxville, TN 37920
  • Reassigned Medicare billing, Tennessee enrollment
  • 95 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
1928 ALCOA HWY
KNOXVILLE, TN 37920
Internal Medicine (Gastroenterology)
1928 ALCOA HWY, B100
KNOXVILLE, TN 37920
Dermatology (MOHS-Micrographic Surgery)
1928 ALCOA HWY, STE 209
KNOXVILLE, TN 37920
Internal Medicine (Gastroenterology)
1928 ALCOA HWY, STE 105
KNOXVILLE, TN 37920
Dermatology
1928 ALCOA HWY, SUITE 209
KNOXVILLE, TN 37920
Obstetrics & Gynecology
1928 ALCOA HWY, MEDICAL BUILDING B SUITE 300
KNOXVILLE, TN 37920
Obstetrics & Gynecology (Gynecology)
1928 ALCOA HWY, STE 303
KNOXVILLE, TN 37920
Psychiatry & Neurology (Neurology)
1928 ALCOA HWY, STE 102
KNOXVILLE, TN 37920

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 Brogan Fulks's NPI number?

The NPI number for Brogan Fulks is 1821522038. It was assigned to this individual provider in the NPPES registry on April 13, 2017. The provider is also known as Dr. Brogan Walters Fulks MD.

Where is Brogan Fulks located?

Brogan Fulks practices at 1928 Alcoa Hwy Pob-B #127, Knoxville, TN 37920. The listed phone number is (865) 305-8787.

What is Brogan Fulks's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brogan Fulks enrolled in Medicare?

Yes. Brogan Fulks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Brogan Fulks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brogan Fulks reassigns Medicare benefits to 2 organizations: University Health System Inc (Knoxville, TN) and University Of Tennessee (Knoxville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brogan Fulks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brogan Fulks accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Brogan Fulks 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 Brogan Fulks was last updated on June 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.