Active NPI
Ryan Curt Fowler, M.D.
- Sports Medicine (Family Medicine) Physician
- Temple, TX
National Provider Identifier
1417959925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- P4166
- Practice address
- 2027 S 61St St Ste 109
Temple, TX 76504-6856 - Phone
- (254) 295-0732
- Fax
- (254) 693-3141
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101237822 | VA | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | P4166 | TX | Primary |
Addresses
Primary practice location
2027 S 61St St Ste 109
Temple, TX 76504-6856
Mailing address
1507 W Main St
Gatesville, TX 76528-1024
Phone (254) 865-8251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 22, 2024 through Aug 22, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101237822 | VA | MD | Family Medicine Physician |
| P4166 | TX | MD | Sports Medicine (Family Medicine) Physician |
Interoperability endpoints
- ryan.fowler@190947594207236.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588550400000",
"number": "1417959925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 W MAIN ST",
"city": "GATESVILLE",
"state": "TX",
"postal_code": "765281024",
"telephone_number": "254-865-8251",
"fax_number": "254-248-6306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2027 S 61ST ST STE 109",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765046856",
"telephone_number": "254-295-0732",
"fax_number": "254-693-3141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "RYAN",
"middle_name": "CURT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2020-05-04",
"certification_date": "2020-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101237822",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "TX",
"license": "P4166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.