Doctor profile · Federal record
Dr. Brenna Fullerton, M.D.
Pediatric Surgery Physician (CMS: General Surgery) · Surgery Physician · Student in an Organized Health Care Education/Training Program · Orlando, FL
- NPI 1366741720
- Accepts Medicare
- 15 yrs in practice
- Licensed in 2 states
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1720 S Orange Ave Ste 500
Orlando, FL 328062967
(140) 754-0100
fax (407) 540-1011 - Additional location
-
3800 Reservoir RD Nw, Dept of Surgery
Washington, DC 200072113
(202) 444-1233
fax (202) 444-7422
Credentials & registration
- NPI registered
- March 2011 — 15 yrs on file
- Profile last updated
- August 20, 2021
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 2086S0120X — NUCC code
- State licenses (2)
- Florida #ME150199 · Massachusetts #259770
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1366741720. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$121
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Nuwellis, Inc. | 1 | $120.92 |
By nature of payment
Frequently asked questions
What is Dr. Brenna Fullerton's medical specialty?
Dr. Brenna Fullerton practices Pediatric Surgery Physician in Orlando, FL.
Where does Dr. Brenna Fullerton practice?
Dr. Brenna Fullerton practices at 1720 S Orange Ave Ste 500, Orlando, FL 328062967. Office phone: 1407540100.
What is Dr. Brenna Fullerton's NPI?
Dr. Brenna Fullerton's National Provider Identifier (NPI) is 1366741720, issued by NPPES.
Does Dr. Brenna Fullerton accept Medicare assignment?
Yes. Dr. Brenna Fullerton accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.