Active NPI
Brian L Fowler, MD
- Emergency Medicine Physician
- Boerne, TX
National Provider Identifier
1023003407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- H0352
- Practice address
- 1201 S Main St
Suite 118
Boerne, TX 78006-2833 - Phone
- (830) 815-1081
- Fax
- (830) 815-1082
- NPI assigned
- Sep 13, 2005
- Last updated
- Mar 15, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | H0352 | TX | Primary |
Addresses
Primary practice location
1201 S Main St
Suite 118
Boerne, TX 78006-2833
Mailing address
1201 S Main St
Suite 118
Boerne, TX 78006-2833
Phone (830) 815-1081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0352 | TX | MD | Emergency Medicine Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Boerne, TX
- NPI 1417044678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331769600000",
"number": "1023003407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 S MAIN ST",
"address_2": "SUITE 118",
"city": "BOERNE",
"state": "TX",
"postal_code": "780062833",
"telephone_number": "830-815-1081",
"fax_number": "830-815-1082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S MAIN ST",
"address_2": "SUITE 118",
"city": "BOERNE",
"state": "TX",
"postal_code": "780062833",
"telephone_number": "830-815-1081",
"fax_number": "830-815-1082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "BRIAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2012-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "H0352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.