BRYAN H. FULLER (MD) – Internal Medicine Physician, NPI 1104898592

BRYAN H. FULLER (MD) is a healthcare provider. based in Ironton, Ohio. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 35078023 (OH). The NPI Number for BRYAN H. FULLER (MD) is 1104898592

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN H. FULLER (MD)
NPI
1104898592
Phone
(740) 534-9830
Address
1005 E RING RD
Enumeration Date
2 February 2006
Last Update Date
21 December 2020

Doctor Profile

Medical School Name
JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Secondary Phone
7405349830
Graduation Year
1997 (29 years ago)
PAC ID
2264400233
Group Practice PAC ID
9436061645
Professional Enrollment ID
I20041014000158
Address ID
OH456389610IR1005XRDXX400

Contacts

Secure Messaging
bryan.fuller@somc.medicity.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

7,201 INTERNAL MEDICINE in OH

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Provider Addresses for BRYAN H. FULLER (MD)

  • 1005, East Ring Road, Ironton, Lawrence County, Ohio, 45638, United States

    IRONTON, OH 456389610

    Phone: (740) 534-9830

    Fax: (740) 534-9832

    Type: Location

  • 27th Street, Portsmouth, Scioto County, Ohio, 45662, United States

    PORTSMOUTH, OH 456622681

    Phone: (740) 356-8681

    Fax: (740) 353-7900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-10-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041014000158IInternal MedicineOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes249186$0
99213Established patient office or other outpatient visit, 20-29 minutes147124$0
99203New patient office or other outpatient visit, 30-44 minutes3535$0
View full utilization report →

Insurance plans in this area (ZIP 45638)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436061645View full group profile

Reviews

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Frequently asked questions

What federal number belongs to BRYAN H. FULLER (MD)?
The federal identifier for BRYAN H. FULLER (MD) is NPI 1104898592.
Is BRYAN H. FULLER (MD)'s NPI currently valid?
The extract we use shows BRYAN H. FULLER (MD) as active.
What does BRYAN H. FULLER (MD) treat or focus on?
Patients typically see BRYAN H. FULLER (MD) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for BRYAN H. FULLER (MD)?
The page summarizes Ironton, Ohio for BRYAN H. FULLER (MD); expand the address list for detail.
What if Ironton, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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