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Dr. Mark Avery Fuller, MD

Internal Medicine Physician in Bayfield, WI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124055561

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Registry record

Entity type Individual (Type 1)
Name Dr. Mark Avery Fuller
Credential MD
Sex Male
Practice address 36745 Aiken Rd, Bayfield, WI, 54814
Phone (715) 779-3707
Fax (715) 779-3362
Enumeration date Jun 28, 2006
Last updated in NPPES Jun 21, 2022

Taxonomy & licenses

208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians · License 4301093004 (MI) Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 1901-320 (WI) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
3536500 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Mark Fuller practice?
The practice location on file with NPPES is in Bayfield, WI. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Mark Fuller?
The National Provider Identifier (NPI) for Mark Fuller is 1124055561, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-21.