Active NPI
Wade L Lowry, MD
- Urology Physician
- Bedford, TX
National Provider Identifier
1659367043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G4641
- Practice address
- 1604 Hospital Pkwy Ste 201
Bedford, TX 76022-6930 - Phone
- (817) 784-8268
- Fax
- (817) 283-8003
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | G4641 | TX | Primary |
Addresses
Primary practice location
1604 Hospital Pkwy Ste 201
Bedford, TX 76022-6930
Mailing address
1604 Hospital Pkwy Ste 201
Bedford, TX 76022-6930
Phone (817) 784-8268
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 097429705 | Medicaid | TX | |
| 097429707 | Medicaid | TX | |
| 097429704 | Medicaid | TX | |
| 097429706 | Other | TX | MEDICAID OTHER |
| 097429703 | Medicaid | TX | |
| 097429702 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Associates of North Texas LLP | Urology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Urology Physician
- Weatherford, TX
- NPI 1407849961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1659367043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 HOSPITAL PKWY STE 201",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226930",
"telephone_number": "817-784-8268",
"fax_number": "817-283-8003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 HOSPITAL PKWY STE 201",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226930",
"telephone_number": "817-784-8268",
"fax_number": "817-283-8003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWRY",
"first_name": "WADE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "G4641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "097429705",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "097429707",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "097429704",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID OTHER",
"identifier": "097429706",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "097429703",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "097429702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.