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Deactivated NPI 1922039619 Deactivated / Inactive NPI Male Practitioner

Dr. Bradbury Fuller , MD

Surgery • Middlebury, VT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bradbury Fuller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 05, 2006
NPI Deactivation Date March 13, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Bradbury Fuller, MD was a registered Surgery practicing in Middlebury, VT. Throughout an active medical career spanning 12 years, Dr. Fuller provided care at the practice location at 116 PORTER DR until profile deactivation on 2018-03-13.

Historical Medicare Part B clinical services included biopsy of large bowel using an endoscope, new patient outpatient office visit, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

116 Porter Dr

Middlebury, VT 057538527

Telephone 8023889708
Fax 8023887120
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Middlebury, VT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
3 Specialists

Practicing in Middlebury, VT (83 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
45380 Biopsy of large bowel using an endoscope
150 150 $800.00 $201.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
85 85 $185.00 $75.03
99213 Established patient office or other outpatient visit, typically 15 minutes
72 58 $125.00 $72.35
99213 Established patient office or other outpatient visit, typically 15 minutes
65 65 $125.00 $50.15
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
54 53 $641.85 $114.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
49 49 $185.00 $106.62
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
29 29 $750.00 $176.34
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
24 24 $860.00 $257.23
99284 Emergency department visit with moderate level of medical decision making
12 11 $200.00 $114.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
11 11 $325.00 $199.21

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VT 042-0007563

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Arthur Colley , MD

Internal Medicine - Gastroenterology

NPI 1255337093

Doctor of Medicine (M.D.)

NPI 1508818261

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 13, 2018

Record deactivated on March 13, 2018

NPI Profile Active December 17, 2012

NPI status registered as active in NPPES database

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Updated Practice Location December 17, 2012

Registered at 116 PORTER DR, MIDDLEBURY, VT 057538527 (Tel: 8023889708)

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Updated Business Mailing Address December 17, 2012

Registered at 116 PORTER DR, MIDDLEBURY, VT 057538527 (Tel: 8023889708)

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Provider Name / Credentials Updated December 17, 2012

Recorded as BRADBURY FULLER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2012

Surgery (License #042-0007563 in VT)

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Initial NPI Registration & Enumeration July 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922039619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2006
Last Update: December 17, 2012
Deactivation Date: March 13, 2018

Mailing Address

116 Porter Dr

Middlebury, VT 057538527

Phone: 8023889708

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.