MEDICARE: DR. COURTNEY MARY COWELL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	0116035576	VA
2	207Q00000X	Family Medicine Physician	2024-03437	NC

General Provider Information

NPI Number	:	1194394668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COURTNEY MARY COWELL MD

Provider Business Mailing Address
First Line	:	2817 ROCK MERRITT AVE WOMAC ARMY MEDICAL CENTER
Second Line	:
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	590 MEDICAL CENTER ROAD
Second Line	:
City	:	FORT HOOD
State	:	TX
Zip	:	76544
Country	:	US
Telephone Number	:	254-288-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2021
Last Update Date	:	05/26/2026

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