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

Rollin William Fuller Jr., MD

Individual provider Emergency Medicine Physician · NPI 1871548073

Rollin William Fuller Jr., MD is an Emergency Medicine in Bloomington, Minnesota. Graduated from University of Minnesota Medical School in 1994, 32 years ago. Practices with Prisma Health Medical Group-Midlands, a 1,018-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia, Minnesota, North Carolina and South Carolina.

Years since qualifying
32
Trained at
University of Minnesota Medical School
Licensed in
GA, MN, NC, SC
In the registry since
2006
Specialties on file
4
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

4300 Marketpointe Dr Ste 100
Bloomington, MN 55435
Phone: (952) 835-9880
Fax: (952) 857-1554
Show map & directions

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

Additional practice locations (2)

  • 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 — (678) 312-3356
  • 14 Richland Medical Park Dr Ste 350, Columbia, SC 29203-6896 — (803) 434-1663

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 65968 (GA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 48275 (MN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 33161 (SC)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 0099-00501 (NC)

Record details

NPI number1871548073
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1994 (32 years in practice)
Group practice Prisma Health Medical Group-Midlands — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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