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

Brian G. Fuller, MD

Individual provider Radiation Oncology Physician · NPI 1396834412

Brian G. Fuller, MD is a Radiation Oncology in Coos Bay, Oregon. Graduated from University of California, Geffen School of Medicine in 1987, 39 years ago. Practices with San Juan Regional Medical Center, Inc, a 231-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado, New Mexico and Oregon.

Years since qualifying
39
Trained at
University of California, Geffen School of Medicine
Licensed in
CO, NM, OR
In the registry since
2006
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

1775 Thompson Rd
Coos Bay, OR 97420-2125
Phone: (541) 269-8520
Fax: (541) 267-5083
Show map & directions

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

Additional practice locations (1)

  • 801 W Maple St, Farmington, NM 87401-5630 — (505) 609-6259

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence MD186291 (OR)
Radiation Oncology Physician Taxonomy 2085R0001X · Licence 49432 (CO)
Radiation Oncology Physician Taxonomy 2085R0001X · Licence MD2023-0362 (NM)

Record details

NPI number1396834412
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESDecember 27, 2023
Certification dateDecember 27, 2023
Mailing address1775 Thompson Rd, Coos Bay, OR 97420-2125

Medicare enrollment

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

Medicare specialtyRADIATION ONCOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice San Juan Regional Medical Center, Inc. — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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