NATURAL STATE OBGYN – NPI #1184233173
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

NATURAL STATE OBGYN is a provider located in CONWAY, AR. NPPES has assigned the NPI number 1184233173 to NATURAL STATE OBGYN on July 27, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NATURAL STATE OBGYN” is a dba name, the actual legal business name for this organization is BRYAN D FULLER MD PA. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 4 years ago on Jul 08, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NATURAL STATE OBGYN below.

NPI Profile for
BRYAN D FULLER MD PA

NPI Number
1184233173
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRYAN D FULLER MD PA
Doing Business As (dba): NATURAL STATE OBGYN
Primary location
625 UNITED DR STE 330
CONWAY, AR 72032-7828
Phone: (501) 748-8450 Fax: (501) 379-8428
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JENNIFER SMITH
ADMINISTRATOR
Phone: (501) 748-8450
Updated
Certification Date
Jul 08, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.