| Brent N Fulton, MD | |
|
873 Hull Rd Unit 12, Ormond Beach, FL 32174 | |
| (386) 267-2965 | |
| (386) 603-6007 |
| Full Name | Brent N Fulton |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 22 Years |
| Location | 873 Hull Rd Unit 12, Ormond Beach, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194708495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME94759 (Florida) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | ME94759 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Deland | Deland, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trident Sports Medicine And Rehabilitation Inc | 4688027295 | 5 |
| Entity Name | Halifax Healthcare Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
| Entity Name | Michael N Fulton |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922239110 PECOS PAC ID: 2668527649 Enrollment ID: O20090826000719 |
| Entity Name | Trident Sports Medicine And Rehabilitation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811766637 PECOS PAC ID: 4688027295 Enrollment ID: O20240131001031 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent N Fulton, MD 873 Hull Rd Unit 12, Ormond Beach, FL 32174 Ph: (386) 267-2965 | Brent N Fulton, MD 873 Hull Rd Unit 12, Ormond Beach, FL 32174 Ph: (386) 267-2965 |
Dr. Richard Branoff, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 545 W Granada Blvd, Ormond Beach, FL 32174 Phone: 386-672-6243 Fax: 386-677-7463 | |
Dr. Samuel Damain Pepeto Clarke, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 Phone: 386-317-8620 Fax: 386-317-8625 | |
Teresa Hernandez, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1184 Ocean Shore Blvd, Ormond Beach, FL 32176 Phone: 386-481-6102 | |
Dr. Craig Allan Miller, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Hand Ave, Suite K, Ormond Beach, FL 32174 Phone: 386-673-0517 Fax: 386-671-2771 | |
Dr. Sandford H. Kinne Iii, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 290 Clyde Morris Blvd, Suite A-1, Ormond Beach, FL 32174 Phone: 386-677-5600 Fax: 386-677-5686 | |
Dr. Therese A Ibrahim, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 S Nova Rd Ste 4&5, Ormond Beach, FL 32174 Phone: 386-615-8122 Fax: 844-899-3686 | |
Dr. Donald Benett, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Po Box 731327, Ormond Beach, FL 32173 Phone: 386-677-6644 |