Individual provider

Brian Fullem, DPM

Foot Surgery Podiatrist Foot & Ankle Surgery Podiatrist Medicare enrolled

Brian Fullem, DPM is a provider specialising in Foot Surgery Podiatrist in Clearwater, FL, registered under NPI 1922036086. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1700 N MCMULLEN BOOTH RD #C-2, Clearwater, FL 33759. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1700 N MCMULLEN BOOTH RD #C-2, Clearwater, FL 33759 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PO3445 FL Foot Surgery Podiatrist primary
556 CT Foot & Ankle Surgery Podiatrist

Licences are recorded in 2 states: FL, CT. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Podiatry
PAC ID
0648165050

Medicare enrolment is recorded as approved under the provider type Practitioner - Podiatry. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Connecticut and Florida. The practice address on file is in Clearwater, FL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CT Connecticut
Licence
556
Specialty
Foot & Ankle Surgery Podiatrist
Verify with the CT board →
FL Florida practice address
Licence
PO3445
Specialty
Foot Surgery Podiatrist
Verify with the FL board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Foot Surgery covers

Definition to come... NUCC Health Care Provider Taxonomy, code 213ES0131X
Podiatric Medicine & Surgery Service Providers Podiatrist Foot Surgery

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
213ES0131X Foot Surgery Podiatrist Foot Surgery PO3445 FL primary
213ES0103X Foot & Ankle Surgery Podiatrist Foot & Ankle Surgery 556 CT

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1922036086 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 29, 2006
Last updatedSep 23, 2014
StatusActive
Sole proprietorNo
CredentialDPM
Practice address 1700 N MCMULLEN BOOTH RD
#C-2
Clearwater, FL 33759
(727) 330-7646
Fax (727) 330-7645
This record was last updated on Sep 23, 2014, roughly 11 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1922036086 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 9 2 2 0 3 6 0 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 4 2 0 3 3 0 7

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1922036086?
NPI 1922036086 is the National Provider Identifier assigned to Brian Fullem, DPM in Clearwater, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Foot Surgery cover?
Definition to come...
How do I contact Brian Fullem, DPM?
The phone number on file with NPPES is (727) 330-7646, last updated Sep 23, 2014. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Brian Fullem, DPM accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1922036086 a valid number?
Yes. 1922036086 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.