Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487089124 Individual Practitioner Male Practitioner

Bryan Carroll Fuller , CPO

Orthotist • Charlottesville, VA

Professional Overview & Biography Verified Profile Summary

Bryan Fuller, CPO is a registered healthcare professional specializing in Orthotist in Charlottesville, VA. Practice services are available at 612 RIO RD W STE 5 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

612 Rio Rd W Ste 5

Charlottesville, VA 229011412

Telephone 4345298882
Fax 4345298882
Associated Practice Facility / Clinic
🏢 Fuller's Orthopedic Facility NPI 1215362850

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthotist in Charlottesville, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Charlottesville, VA (24 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

Medical Specialties & State Licenses

Orthotist Primary Specialty

NUCC Taxonomy Code: 222Z00000X

State License DE 1298

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Prosthetist

NUCC Taxonomy Code: 224P00000X

State License DE 1298

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1215362850 (VA)

Secondary Practice Locations

200 W 12th St

Waynesboro, VA 229804771

Phone: 5409499089

Career & Practice History Timeline

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

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Prosthetist (License #1298 in DE)

NPI Profile Active September 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2017

Registered at 612 RIO RD W STE 5, CHARLOTTESVILLE, VA 229011412 (Tel: 4345298882)

📍
Updated Business Mailing Address September 27, 2017

Registered at 612 RIO RD W STE 5, CHARLOTTESVILLE, VA 229011412 (Tel: (434) 529-8882)

👤
Provider Name / Credentials Updated September 27, 2017

Recorded as BRYAN FULLER, CPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2017

Prosthetist (License #1298 in DE)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2017

Orthotist (License #1298 in DE)

NPI Profile Active October 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 14, 2014

Registered at 200 W 12TH ST, WAYNESBORO, VA 229804771 (Tel: 5409499089)

📍
Updated Business Mailing Address October 14, 2014

Registered at 200 W 12TH ST, PO BOX 598, WAYNESBORO, VA 229804771 (Tel: 5409499089)

👤
Provider Name / Credentials Updated October 14, 2014

Recorded as BRYAN FULLER, CPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2014

Orthotist (License #1298 in DE)

🟢
Initial NPI Registration & Enumeration September 12, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1487089124
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2013
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

612 Rio Rd W Ste 5

Charlottesville, VA 229011412

Phone: 4345298882

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.