NPI 1487089124

Bryan Carroll Fuller, CPO

Practitioner Orthotist Charlottesville, VA

Practice location

Address: 612 Rio Rd W STE 5, Charlottesville, VA 22901-1412
Phone: (434) 529-8882
Fax: (434) 529-8882

Registered specialties (2)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 1298 (DE)

Other Orthotist providers in Virginia →

Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 1298 (DE)

Other Prosthetist providers in Virginia →

Registry record

NPI: 1487089124
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Sep 2013
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.