IndividualActive
Brian Fullem, DPM
NPI 1922036086 · Foot Surgery Podiatrist · Clearwater, FL
Provider details
- NPI number
- 1922036086
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 556 (CT)
Practice location
1700 N Mcmullen Booth Rd
#c-2
Clearwater, FL 33759-2130
Phone: (727) 330-7646
Fax: (727) 330-7645
Mailing address
1700 N Mcmullen Booth Rd
Clearwater, FL 33759-2130
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2014-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.