National Provider Identifier Database

BRIAN G FULLER, MD – NPI #1396834412
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.


Contact Information

BRIAN G FULLER, MD
1775 THOMPSON RD
COOS BAY, OR97420-2125
Phone: 541-269-8520
Fax: 541-267-5083
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for BRIAN G FULLER

NPI Number 1396834412
Credentials MD
Entity Individual
Enumeration date 10/12/2006
Last updated 12/27/2023 - About 2 years ago
Sole proprietor1 No
Identifiers
  • CO License #: 49432
  • NM License #: MD2023-0362
  • OR License #: MD186291
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for BRIAN G FULLER, MD

There are currently no reviews for BRIAN G FULLER, MD


NPIdb - Home
v2.201