1. Home
  2. Directory
  3. California
  4. Redondo Beach
  5. Dentist
  6. NPI Profile

MICHAEL TERRY FULBRIGHT DDS
NPI 1962545764
Dentist - General Practice in Redondo Beach, CA

Active since February 14, 2007PECOS Enrolled
1815 VIA EL PRADO, 200, REDONDO BEACH, CA 90277(310) 316-4477(310) 316-4475 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Terry Fulbright Dds NPPES

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

MICHAEL TERRY FULBRIGHT DDS (NPI 1962545764) is an individual general practice provider in Redondo Beach, California, licensed in California (47892) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962545764
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMICHAEL TERRY FULBRIGHTCredential: DDS
Location Address1815 VIA EL PRADO, 200Redondo Beach, CA 90277-5722
Mailing Address1815 Via El Prado, 200Redondo Beach, CA 90277-5722 · (310) 316-4477 · Fax (310) 316-4475
Phone(310) 316-4477
Fax(310) 316-4475
Sole ProprietorYes
Enumeration DateFebruary 14, 2007
Last NPPES UpdateJune 16, 2015
✔ NPI 1962545764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 47892
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.
1815 VIA EL PRADO, Redondo Beach, CA 90277
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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)

Michael Terry Fulbright Dds 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 90277 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

MS. JUDITH A STEWART PHD
Psychologist
1815 VIA EL PRADO, SUITE 201
REDONDO BEACH, CA 90277
Los Angeles County (310) 540-3586
MICHAEL T. FULBRIGHT DDS A PROFESSIONAL CORPORATION
Dentist
1815 VIA EL PRADO, #200
REDONDO BEACH, CA 90277
Los Angeles County (310) 316-4477
KEITH A. MARCUS, MD INC.
Clinic/Center (Medical Specialty)
1815 VIA EL PRADO, SUITE 102
REDONDO BEACH, CA 90277
Los Angeles County (310) 544-5010

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 Michael Fulbright's NPI number?

The NPI number for Michael Fulbright is 1962545764. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Michael Fulbright located?

Michael Fulbright practices at 1815 Via El Prado 200, Redondo Beach, CA 90277. The listed phone number is (310) 316-4477.

What is Michael Fulbright's specialty?

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

Is Michael Fulbright enrolled in Medicare?

Yes. Michael Fulbright is registered in the Medicare PECOS enrollment system.

What insurance does Michael Fulbright accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Michael Fulbright 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 Michael Fulbright was last updated on June 16, 2015. 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.