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

Dr. Corey Brandon Fuller, MD

Individual provider Orthopaedic Surgery Physician · NPI 1053637694

Dr. Corey Brandon Fuller, MD is a Sports Medicine in Loma Linda, California. Graduated from Loma Linda University School of Medicine in 2010, 16 years ago. Practices with Sac Health System, a 220-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
16
Trained at
Loma Linda University School of Medicine
Licensed in
CA, OR
In the registry since
2010
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

25455 Barton Rd Ste 102B
Loma Linda, CA 92354-3139
Phone: (909) 558-6444
Fax: (909) 558-6118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 450 N Graham St, Portland, OR 97227-1682 — (503) 413-4488

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence A118405 (CA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence A118405 (CA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence MD229227 (OR)

Record details

NPI number1053637694
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2010
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Also practisesORTHOPEDIC SURGERY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Sac Health System — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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