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

Dr. Charles Berry Fullenwider, MD

Individual provider Neurological Surgery Physician · NPI 1447245063

Dr. Charles Berry Fullenwider, MD is a Neurosurgery in Muskogee, Oklahoma. Graduated from University of Oklahoma College of Medicine in 1978, 48 years ago. Practices with Warren Clinic Inc, a 772-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
48
Trained at
University of Oklahoma College of Medicine
Licensed in
OK
In the registry since
2005
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

4318 W Okmulgee St
Muskogee, OK 74401-4648
Phone: (918) 683-1238
Fax: (918) 683-1239
Show map & directions

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

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 12300 (OK)

Record details

NPI number1447245063
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2005
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 1978 (48 years in practice)
Group practice Warren Clinic Inc — 772 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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