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

Individual provider Anesthesiology Physician · NPI 1891178372

Redgy Fuller, DO is a Pain Management in Omaha, Nebraska. Qualified in 2017, 9 years ago. Practices with Unmc Physicians, a 1,484-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nebraska.

Years since qualifying
9
Licensed in
NE
In the registry since
2015
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

984150 Nebraska Medical Ctr
Omaha, NE 68198-4150
Phone: (402) 559-4081
Fax: (402) 559-7372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 8055 (NE)

Record details

NPI number1891178372
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 2, 2015
Last updated in NPPESJuly 21, 2022
Mailing address984150 Nebraska Medical Ctr, Omaha, NE 68198-4150

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Unmc Physicians — 1484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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