MEDICARE: DR. JAMES J FOWLER M.D.

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	207Y00000X	Otolaryngology Physician	J5576	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	040012679	OTHER	TX	RR MEDICARE - BROWNWOOD
8	040015413	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4230462	OTHER	TX	AETNA PROVIDER NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0019CU	OTHER	TX	BCBS - BROWNWOOD
4	180953102	OTHER	TX	UNITED HEALTHCARE PROV NO
5	1844073001	OTHER	TX	CIGNA PROVIDER NUMBER
6	89119G	OTHER	TX	BCBS PROVIDER NUMBER
9	112950100	OTHER	TX	FIRST CARE PROVIDER NUMBE
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891790499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES J FOWLER M.D.

Provider Business Mailing Address
First Line	:	2510 CROCKETT DR STE A
Second Line	:
City	:	BROWNWOOD
State	:	TX
Zip	:	76801-5928
Country	:	US
Telephone Number	:	325-646-9956
Fax Number	:	325-641-1010

Provider Business Practice Location Address
First Line	:	2510 CROCKETT DR STE A
Second Line	:
City	:	BROWNWOOD
State	:	TX
Zip	:	76801-5928
Country	:	US
Telephone Number	:	325-646-9956
Fax Number	:	325-641-1010

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

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	03/08/2017

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