Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Brandon Fultz, PA-C

Individual provider Medical Physician Assistant · NPI 1902031131

Mr. Brandon Fultz, PA-C is a Medical Physician Assistant in Greenwood, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

747 E County Line Rd Ste H
Greenwood, IN 46143-1082
Phone: (317) 528-8009
Fax: (317) 528-8012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4770 S Emerson Ave, Indianapolis, IN 46203-6913 — (317) 783-8009

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10001066A (IN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 10001066A (IN)

Record details

NPI number1902031131
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 18, 2009
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023

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