Brian Edward Fuller, MD | |
6107 Pinewood Rd, Nunnelly, TN 37137-2523 | |
(888) 852-6672 | |
(305) 891-4228 |
Full Name | Brian Edward Fuller |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 6107 Pinewood Rd, Nunnelly, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033409438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD51960 (Tennessee) | Primary |
2083A0300X | Preventive Medicine - Addiction Medicine | MD51960 (Tennessee) | Secondary |
Entity Name | Drd Management Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871954867 PECOS PAC ID: 1355651217 Enrollment ID: O20170606002169 |
Entity Name | Vcphcs I, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295994671 PECOS PAC ID: 1254664626 Enrollment ID: O20190618001281 |
Entity Name | Vcphcs Xix, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639515646 PECOS PAC ID: 9537493739 Enrollment ID: O20190621000955 |
Entity Name | Vcphcs Viii Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477999480 PECOS PAC ID: 9739415217 Enrollment ID: O20190722000822 |
Entity Name | Vcphcs Ix Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730525783 PECOS PAC ID: 6901132349 Enrollment ID: O20190723003904 |
Entity Name | Bhg Xxxi, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285057638 PECOS PAC ID: 5991031197 Enrollment ID: O20190725002421 |
Entity Name | Vcphcs Xxi, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538505649 PECOS PAC ID: 7416283528 Enrollment ID: O20190726002858 |
Entity Name | Drd Management Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366601775 PECOS PAC ID: 1355651217 Enrollment ID: O20190808000455 |
Entity Name | Vcphcs Xvii, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508202524 PECOS PAC ID: 3375873094 Enrollment ID: O20190924000441 |
Entity Name | Bhg Xxvii Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568009181 PECOS PAC ID: 9133545379 Enrollment ID: O20200818002504 |
Entity Name | Compass Health Systems Of Tennessee |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831719442 PECOS PAC ID: 2062831209 Enrollment ID: O20201007002175 |
Entity Name | Wellness Ambulatory Care Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659963445 PECOS PAC ID: 2163703901 Enrollment ID: O20210120000765 |
Mailing Address | Practice Location Address |
---|---|
Brian Edward Fuller, MD 30 Burton Hills Blvd, Suite 375, Nashville, TN 37215-6140 Ph: (615) 327-4877 | Brian Edward Fuller, MD 6107 Pinewood Rd, Nunnelly, TN 37137-2523 Ph: (888) 852-6672 |
Dr. Michael John Baron, MD, MPH Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6107 Pinewood Rd, Nunnelly, TN 37137 Phone: 931-729-9728 Fax: 931-729-7272 |