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

Clark J Fullmer II, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1649240557

Clark J Fullmer II, DPM is a Podiatry in Dickinson, North Dakota. Graduated from California School of Podiatric Medicine in 1995, 31 years ago. Practices with Sanford Bismarck, a 561-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
31
Trained at
California School of Podiatric Medicine
Licensed in
ND
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2615 Fairway St
Dickinson, ND 58601
Phone: (701) 456-6000
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 60 (ND)

Record details

NPI number1649240557
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJanuary 24, 2006
Last updated in NPPESAugust 30, 2018

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 1995 (31 years in practice)
Group practice Sanford Bismarck — 561 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare