Individual
BRETT FILLMORE
Active
Individual
BRETT FILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29334
OK
2085R0202X
Diagnostic Radiology Physician
269474
MA
2085R0202X
Diagnostic Radiology Physician
Primary
56162
CT
2085R0202X
Diagnostic Radiology Physician
MD464866
PA
Other
Enumeration date
05/29/2012
Last updated
10/07/2025
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