Search › Indiana › 363A00000X
Brandon Fultz, PA-C
NPI 1902031131 · on the registry since 2009
Practice
- Address
- 747 E County Line Rd Ste H
Greenwood, IN 46143 - Phone
- (317) 528-8009
- Fax
- (317) 528-8012
- Organisation at this address
- Indiana Spine Group, Pc
Premier Family Medicine, Llc
Pain And Aging Management Llc
Indy Procare Physical Therapy Limited PartnershipInferred from a shared address, not stated in the registry. - Clinicians at this address
- 30
Additional practice sites
- 4770 S Emerson Ave, Indianapolis, IN
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana