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

Dr. Brian William Fullem, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1922036086

Dr. Brian William Fullem, DPM is a Podiatry in Clearwater, Florida. Graduated from New York College of Podiatric Medicine in 1990, 36 years ago. Accepts Medicare assignment. Licensed in Connecticut and Florida.

Years since qualifying
36
Trained at
New York College of Podiatric Medicine
Licensed in
CT, FL
In the registry since
2006
Specialties on file
2
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

1700 N McMullen Booth Rd #C-2
Clearwater, FL 33759-2130
Phone: (727) 330-7646
Fax: (727) 330-7645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence PO3445 (FL)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 556 (CT)

Record details

NPI number1922036086
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESSeptember 23, 2014
Mailing address1700 N McMullen Booth Rd, C-2, Clearwater, FL 33759-2130

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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