Active NPI
Brian Dow, R.N.
- Registered Nurse
- Fort Worth, TX
National Provider Identifier
1225139769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 657848
- Practice address
- 1121 W. Magnolia Avenue
Fort Worth, TX 76104-4435 - Phone
- (817) 453-1844
- Fax
- (817) 332-1151
- NPI assigned
- Sep 26, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 657848 | TX | Primary |
Addresses
Primary practice location
1121 W. Magnolia Avenue
Fort Worth, TX 76104-4435
Mailing address
2 Roosevelt Court
Mansfield, TX 76063-5584
Phone (817) 454-9840
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 657848 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Outpatient Rehab Clinic LLC | Registered Nurse | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225139769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 ROOSEVELT COURT",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760635584",
"telephone_number": "817-454-9840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 W. MAGNOLIA AVENUE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044435",
"telephone_number": "817-453-1844",
"fax_number": "817-332-1151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOW",
"first_name": "BRIAN",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "657848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.