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

Brian Fullwood, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487048880

Brian Fullwood, MD is a Student in an Organized Health Care Education/Training Program in Selmer, Tennessee. Licensed in Tennessee. Registered with an NPI since 2015.

Licensed in
TN
In the registry since
2015
Specialties on file
2
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

270 E Court Ave
Selmer, TN 38375
Phone: (731) 645-7932
Fax: (731) 645-5195
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD0000055446 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1487048880
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2015
Last updated in NPPESJune 25, 2018
Mailing address270 E Court Ave, Selmer, TN 38375-2304

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