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DR. BRIAN WILLIAM FULLEM DPM
NPI 1922036086
Podiatrist - Foot Surgery in Clearwater, FL

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
1700 N MCMULLEN BOOTH RD, #C-2, CLEARWATER, FL 33759(727) 330-7646(727) 330-7645 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brian William Fullem Dpm NPPES

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

DR. BRIAN WILLIAM FULLEM DPM (NPI 1922036086) is an individual foot surgery provider in Clearwater, Florida, licensed in Florida (PO3445) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (1990).

NPPES Registry Identity

NPI1922036086
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameDR. BRIAN WILLIAM FULLEMCredential: DPM
Location Address1700 N MCMULLEN BOOTH RD, #C-2Clearwater, FL 33759-2130
Mailing Address1700 N Mcmullen Booth Rd, #c-2Clearwater, FL 33759-2130 · (727) 330-7646 · Fax (727) 330-7645
Phone(727) 330-7646
Fax(727) 330-7645
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 1990
Enumeration DateJune 29, 2006
Last NPPES UpdateSeptember 23, 2014
✔ NPI 1922036086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in FL · PO3445
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 556 (CT)
1700 N MCMULLEN BOOTH RD, Clearwater, FL 33759
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Other Identifiers 1

Medicare UPINU19859

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian William Fullem Dpm 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 ID648165050
PECOS Enrollment IDI20110309000854
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
163 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients

Other Providers at the Same Location NPPES 18

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

CHRISTINE P POINDEXTER MYATT M.D.
Internal Medicine
1700 N MCMULLEN BOOTH RD, STE D-1
CLEARWATER, FL 33759
Pinellas County (727) 669-3800
MRS. DONNA FAYE THEISS ARNP
Nurse Practitioner (Family)
1700 N MCMULLEN BOOTH RD, SUITE D1
CLEARWATER, FL 33759
Pinellas County (352) 671-6788
ALCRISTA INVESTMENTS, INC.
Home Health
1700 N MCMULLEN BOOTH RD, SUITE B-3
CLEARWATER, FL 33759
Pinellas County (813) 886-2023
ELITE SPORTS PODIATRY, PA
Podiatrist (Foot Surgery)
1700 N MCMULLEN BOOTH RD, SUITE C-2
CLEARWATER, FL 33759
Pinellas County (727) 330-7646
DR. LEAH ALEXANDER SWAIM
Psychologist
1700 N MCMULLEN BOOTH RD
CLEARWATER, FL 33759
Pinellas County (407) 462-0518
CALLIE KING PHD
Psychologist
1700 N MCMULLEN BOOTH RD
CLEARWATER, FL 33759
Pinellas County (727) 228-2388
DR. WILLIAM ALVAREZ D.O.
Family Medicine
1700 N MCMULLEN BOOTH RD, SUITE C3
CLEARWATER, FL 33759
Pinellas County (727) 723-3921
MS. NICOLE MARIE FALK OTR
Occupational Therapist
1700 N MCMULLEN BOOTH RD
CLEARWATER, FL 33759
Pinellas County (727) 967-3025

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 Brian Fullem's NPI number?

The NPI number for Brian Fullem is 1922036086. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Brian Fullem located?

Brian Fullem practices at 1700 N Mcmullen Booth Rd #c-2, Clearwater, FL 33759. The listed phone number is (727) 330-7646.

What is Brian Fullem's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Brian Fullem enrolled in Medicare?

Yes. Brian Fullem 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.

What insurance does Brian Fullem accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Brian Fullem 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 Brian Fullem was last updated on September 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.