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

Richard E Fuller, MD

Individual provider Adult Medicine Physician · NPI 1306841002

Richard E Fuller, MD is an Adult Medicine Physician in Brookfield, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
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

17780 Versailles Ct
Brookfield, WI 53045-5026
Phone: (262) 389-1375
Show map & directions

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

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 32988-020 (WI)

Record details

NPI number1306841002
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2005
Last updated in NPPESJune 11, 2021
Certification dateJune 11, 2021
Mailing address17780 Versailles Ct, Brookfield, WI 53045-5026