Xiaolu Wu Carter, D.O

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

57708 Issued in GA

Practice address

3551 Roger Brooke Dr
Brooke Army Medical Center
Fort Sam Houston, TX 78234-4504

Phone

(907) 687-3292

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Xiaolu Wu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1306984059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 N PIEDRAS ST",
            "address_2": "WILLIAM BEAUMONT ARMY MEDICAL CENTER",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799205002",
            "telephone_number": "915-742-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "address_2": "BROOKE ARMY MEDICAL CENTER",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "907-687-3292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Hemlock St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012102",
            "country_code": "US",
            "telephone_number": "478-633-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "XIAOLU",
        "middle_name": "WU",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "57708",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "057708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XIAOLU",
            "last_name": "WU",
            "prefix": "DR.",
            "credential": "D. O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Russell Thomas Carroll, PSY.D.
• Timothy Kyle Carroll, SOCIAL WORKER
• Lakeshia Tamara Carter-Logan, PA-C
• Cary N. Carter, CRNA
• Nicholas John Carter, MD
• Jessica Teresa Carthon, DPM
• James Christopher Casey, OTR/MOT
• Ana Casiano Castro, NP
• Lisa Renee Casias
• Rosemary O Casimier, FNP

• Gastroenterology Physician in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.