Individual provider Active NPI

Lisa S. Fowler, M.D.

  • Internal Medicine Physician
  • Brownwood, TX
National Provider Identifier
1265478408
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J4122 Issued in TX
Practice address
2510 Crockett Dr
Ste a
Brownwood, TX 76801-5928
Phone
(325) 646-9956
Fax
(325) 641-1010
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J4122 TX Primary

Addresses

Primary practice location

2510 Crockett Dr
Ste a
Brownwood, TX 76801-5928

Mailing address

2510 Crockett Dr
Ste a
Brownwood, TX 76801-5928
Phone (325) 646-9956

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGOtherTXRAILROAD MEDICARE
125584607MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091216000639 TX Practitioner - Internal Medicine 0446250856 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J4122TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Medical Center Current Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Apr 1, 2011 Accepting new patients
Hendrick Provider Network Internal Medicine CurrentSince Oct 22, 2018 Accepting new patients
Hendrick Provider Network CurrentSince Oct 22, 2018 Accepting new patients
Regional Employee Assistance Program Inc Internal Medicine CurrentSince Apr 1, 2011 Accepting new patients
Regional Employee Assistance Program Inc Internal Medicine Current Accepting new patients
Brownwood Hospital LP Past Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

2510 Crockett Dr
Ste A
Brownwood, TX 76801
Phone (325) 643-5513

2804 Lake Rd
Ste 5
Huntsville, TX 77340
Phone (979) 696-2422

Interoperability endpoints

  • Direct secure messaging: lisafowler@hmc.allscriptsdirect.net

Organizations & group practices 7

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1265478408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 CROCKETT DR",
            "address_2": "STE A",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015928",
            "telephone_number": "325-646-9956",
            "fax_number": "325-641-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 CROCKETT DR",
            "address_2": "STE A",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015928",
            "telephone_number": "325-646-9956",
            "fax_number": "325-641-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "LISA",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J4122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PENDING",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125584607",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

Verify at the official NPI Registry.