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

Brent Fuller

Individual provider Pediatrics Physician · NPI 1871552646

Brent Fuller is an Internal Medicine in Royal Oak, Michigan. Graduated from Wayne State University School of Medicine in 1997, 29 years ago. Practices with Oakwood Ambulatory LLC, a 272-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
29
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

3535 W 13 Mile Rd Ste LL
Royal Oak, MI 48073-6770
Phone: (248) 551-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301070157 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 4301070157 (MI)

Record details

NPI number1871552646
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2006
Last updated in NPPESOctober 5, 2021
Certification dateOctober 5, 2021
Mailing address26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Oakwood Ambulatory Llc — 272 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Royal Oak