Active NPI
Lisa S. Fowler, M.D.
- Internal Medicine Physician
- Brownwood, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J4122
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | TX | RAILROAD MEDICARE |
| 125584607 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J4122 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendrick Medical Center | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Hendrick Provider Network | Internal Medicine | Current | Accepting new patients |
| Hendrick Provider Network | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Abilene, TX
- NPI 1396961322
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1649232984
Internal Medicine
-
- General Acute Care Hospital
- Abilene, TX
- NPI 1528064649
-
- Rural Health Clinic/Center
- San Saba, TX
- NPI 1346044401
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1073575585
-
- Internal Medicine Physician
- Victoria, TX
- NPI 1215999511
-
- Diagnostic Radiology Physician
- Brownwood, TX
- NPI 1275556391
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.