Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brenna Sullivan Fullerton, MD

Individual provider Surgery Physician · NPI 1366741720

Brenna Sullivan Fullerton, MD is a General Surgery in Orlando, Florida. Qualified in 2011, 15 years ago. Practices with Orlando Health Medical Group Inc, a 2,137-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Massachusetts.

Years since qualifying
15
Licensed in
FL, MA
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1720 S Orange Ave Ste 500
Orlando, FL 32806-2967
Phone: (140) 754-0100
Fax: (407) 540-1011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3800 Reservoir Rd Nw, Washington, DC 20007-2113 — (202) 444-1233

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence ME150199 (FL)
Surgery Physician Taxonomy 208600000X · Licence 259770 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366741720
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 23, 2011
Last updated in NPPESAugust 20, 2021
Certification dateAugust 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Orlando Health Medical Group Inc — 2137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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