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

Dr. Timothy Michael Fullagar, MD

Individual provider Neurological Surgery Physician · NPI 1629088364

Dr. Timothy Michael Fullagar, MD is a Neurological Surgery Physician in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

701 Med Tech Pkwy Ste 300
Johnson City, TN 37604-2365
Phone: (423) 232-8301
Fax: (423) 232-8304
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 41401 (TN)

Record details

NPI number1629088364
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 8, 2006
Last updated in NPPESSeptember 28, 2011
Mailing address701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604

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