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Mr. Bryan Carroll Fuller, CPO
Orthotist in Charlottesville, Virginia
NPI 1487089124

Bryan Carroll Fuller is a Orthotist based in Charlottesville, VA. Bryan Carroll Fuller practices in Charlottesville, VA and has the professional credentials of CPO. The NPI Number for Bryan Carroll Fuller is 1487089124 and holds a License No. 1298 (Virginia).

The current practice location address for Bryan Carroll Fuller is 612 Rio Rd W Ste 5, Charlottesville, VA and can be reached out via phone at 434-529-8882 and via fax at 434-529-8882. You can also correspond with Bryan Carroll Fuller through the mailing address at 612 RIO RD W STE 5, CHARLOTTESVILLE, VA - 22901-1412 (mailing address contact number: 434-529-8882).

Location: 612 Rio Rd W Ste 5, Charlottesville, VA, 22901-1412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487089124
Provider Name
Bryan Carroll Fuller
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
612 Rio Rd W Ste 5, Charlottesville, VA, 22901-1412
Phone Number
434-529-8882
Fax Number
434-529-8882
Provider Enumeration Date
09/12/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1215362850 05 VA
institution
Provider Business Practice Location Address Details
Address
612 Rio Rd W Ste 5
City
Charlottesville
State
Virginia
Zip
22901-1412
Phone Number
434-529-8882
Fax Number
434-529-8882
person
Provider Business Mailing Address Details
Address
612 Rio Rd W Ste 5
City
Charlottesville
State
Virginia
Zip
22901-1412
Phone Number
434-529-8882
Fax Number
434-529-8882
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
1298 (Delaware)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
1298 (Delaware)
Definition
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.
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