Individual
DR. DANIEL RICHARDS FULLMER
Active
Individual
DR. DANIEL RICHARDS FULLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
M-12249
ID
2085R0202X
Diagnostic Radiology Physician
Primary
MD00049079
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0285030
L&I-RADIA REST OF WA
WA
01
—
0377759
L&I-RADIA KING COUNTY
WA
01
—
0377766
L&I-SWEDISH RADIA EDMONDS
WA
05
—
1054630
—
WA
05
—
1114994738
—
ID
01
—
4019715
BCBS
—
01
—
4102721
BCBS
—
Enumeration date
03/02/2006
Last updated
03/10/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up