Individual provider Active NPI

Russell Benjamin Edwards, DO

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
National Provider Identifier
1629305404
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N1312 Issued in TX
Practice address
10840 Texas Health TRL Ste 250
Fort Worth, TX 76244-6850
Phone
(817) 750-1310
Fax
(817) 750-1311
NPI assigned
Nov 16, 2009
Last updated
Dec 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X N1312 TX Primary

Addresses

Primary practice location

10840 Texas Health TRL Ste 250
Fort Worth, TX 76244-6850

Mailing address

PO Box 2078
Decatur, TX 76234
Phone (940) 626-1905

Other practice location 1

2451 S Fm 51
#200
Decatur, TX 76234-3858
Phone (940) 627-2409

Other identifiers 2

IdentifierTypeStateIssuer
284869901MedicaidTX
8CN347OtherTXBCBS

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
I20110601000266 TX Practitioner - Obstetrics/Gynecology 0345427217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Texas HSC, College of Osteopathic Med, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

10840 Texas Health TRL
Suite 250
Fort Worth, TX 76244-6850
Phone (817) 750-1310

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Jan 1, 2026 Accepting new patients
Wise Clinical Care Associates Obstetrics & Gynecology CurrentSince Oct 1, 2010 Accepting new patients
Texas Health Physicians Group Obstetrics & Gynecology CurrentSince Jan 1, 2026 Accepting new patients
Decatur Hospital Authority Current Accepting new patients
Columbia Medical Center of Denton Subsidiary LP Past Accepting new patients
Wise Clinical Care Associates Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

133 N FM 730
Unit 105
Boyd, TX 76023
Phone (940) 433-2151

1821 S FM 51
Decatur, TX 76234
Phone (855) 277-2979

2014 Ben Merritt Dr
Ste B
Decatur, TX 76234
Phone (940) 626-2962

2451 S FM 51
Ste 200
Decatur, TX 76234
Phone (940) 627-2409

10840 Texas Health Trl
Ste 250
Fort Worth, TX 76244
Phone (817) 306-5630

Interoperability endpoints

  • Direct secure messaging: russelledwards@wise.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1629305404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2078",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "76234",
            "telephone_number": "940-626-1905",
            "fax_number": "940-626-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10840 TEXAS HEALTH TRL STE 250",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446850",
            "telephone_number": "817-750-1310",
            "fax_number": "817-750-1311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2451 S Fm 51",
            "address_2": "#200",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "TX",
            "postal_code": "762343858",
            "country_code": "US",
            "telephone_number": "940-627-2409",
            "fax_number": "940-626-4579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "RUSSELL",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-16",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N1312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284869901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CN347",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.