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

Kyle Fuller

Individual provider Physician Assistant · NPI 1629781612

Kyle Fuller is a Physician Assistant in Birmingham, Alabama. Graduated from University of Alabama School of Medicine in 2022, 4 years ago. Practices with University of Alabama Health Services Foundation, PC, a 2,759-clinician group and accepts Medicare assignment.

Years since qualifying
4
Trained at
University of Alabama School of Medicine
In the registry since
2023
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Practice location Address checks out

619 19th St S
Birmingham, AL 35233-1900
Phone: (205) 934-4011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1629781612
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 4, 2023
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023
Mailing address5301 Pinecrest Dr, Mount Olive, AL 35117-3335

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice University Of Alabama Health Services Foundation, Pc — 2759 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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