JACK MCBRYDE FULLER – Counselor, NPI 1164193421

JACK MCBRYDE FULLER is a healthcare provider. based in Solon, Ohio. specializing in Counselor. The NPI Number for JACK MCBRYDE FULLER is 1164193421

Main info

Male
Sole Proprietor
Name
JACK MCBRYDE FULLER
NPI
1164193421
Phone
(800) 642-4560
Address
33595 BAINBRIDGE RD STE 101
Enumeration Date
25 September 2021
Last Update Date
25 September 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for JACK MCBRYDE FULLER

  • 33595 BAINBRIDGE RD STE 101

    SOLON, OH 441392981

    Phone: (800) 642-4560

    Type: Location

  • 7575 WATER FALL TRL

    CHAGRIN FALLS, OH 440223965

    Phone: (216) 296-1184

    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.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44139)

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Frequently asked questions

Does JACK MCBRYDE FULLER share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JACK MCBRYDE FULLER uses 1164193421.
Is JACK MCBRYDE FULLER still practicing?
JACK MCBRYDE FULLER is currently listed as active in the public NPI registry.
What is JACK MCBRYDE FULLER's primary classification?
Counselor is the headline specialty for JACK MCBRYDE FULLER here. Clinical services aligned with this taxonomy classification.
Where should I expect JACK MCBRYDE FULLER on a map?
Expect Solon, Ohio as a primary anchor for JACK MCBRYDE FULLER unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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