MR. BRANDON FULTZ PA-C
NPI 1902031131
Physician Assistant in Greenwood, IN

Active since May 18, 2009PECOS Enrolled
747 E COUNTY LINE RD STE H, GREENWOOD, IN 46143(317) 528-8009(317) 528-8012 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2023, Apr 11, 2022, Apr 6, 2022 (3 updates tracked since 2022).

About Mr. Brandon Fultz Pa-c NPPES

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

MR. BRANDON FULTZ PA-C (NPI 1902031131) is an individual physician assistant in Greenwood, Indiana, licensed in Indiana (10001066A) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1902031131
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. BRANDON FULTZCredential: PA-C
Location Address747 E COUNTY LINE RD STE HGreenwood, IN 46143-1082
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Fax(317) 528-8012
Sole ProprietorNo
Enumeration DateMay 18, 2009
Last NPPES UpdateJuly 20, 20233 updates tracked since enumeration
NPPES CertifiedJuly 20, 2023
NPI 1902031131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IN · 10001066A
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 10001066A (IN)
747 E COUNTY LINE RD STE H, Greenwood, IN 46143

Secondary Practice Location 1

Location 14770 S Emerson Ave, Suite AIndianapolis, IN 46203-6913 · Phone (317) 783-8009

Accepted 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)

Mr. Brandon Fultz Pa-c 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 46143 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 5

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

Health Educator
747 E COUNTY LINE RD STE H
GREENWOOD, IN 46143
Health Educator
747 E COUNTY LINE RD STE H
GREENWOOD, IN 46143
Health Educator
747 E COUNTY LINE RD STE H
GREENWOOD, IN 46143
Family Medicine
747 E COUNTY LINE RD STE H
GREENWOOD, IN 46143
Family Medicine
747 E COUNTY LINE RD STE H
GREENWOOD, IN 46143

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 Brandon Fultz's NPI number?

The NPI number for Brandon Fultz is 1902031131. It was assigned to this individual provider in the NPPES registry on May 18, 2009.

Where is Brandon Fultz located?

Brandon Fultz practices at 747 E County Line Rd Ste H, Greenwood, IN 46143. The listed phone number is (317) 528-8009.

What is Brandon Fultz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brandon Fultz enrolled in Medicare?

Yes. Brandon Fultz is registered in the Medicare PECOS enrollment system.

What insurance does Brandon Fultz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Brandon Fultz 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 Brandon Fultz was last updated on July 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.