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

Mr. Bryan Carroll Fuller, CPO

Individual provider Prosthetist · NPI 1487089124

Mr. Bryan Carroll Fuller, CPO is a Prosthetist in Charlottesville, Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in Delaware.

Licensed in
DE
In the registry since
2013
Specialties on file
2

Practice location Address checks out

612 Rio Rd W Ste 5
Charlottesville, VA 22901-1412
Phone: (434) 529-8882
Fax: (434) 529-8882
Show map & directions

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

Additional practice locations (1)

  • 200 W 12th St, Waynesboro, VA 22980-4771 — (540) 949-9089

Specialties & licences

Orthotist (primary) Taxonomy 222Z00000X · Licence 1298 (DE)
Prosthetist Taxonomy 224P00000X · Licence 1298 (DE)

Record details

NPI number1487089124
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorYes
NPI enumeratedSeptember 12, 2013
Last updated in NPPESJuly 21, 2022