Brent J Fowler, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

1240 Jesse Jewell Pkwy SE Ste 360
Gainesville, GA 30501-3861

Phone

(770) 534-9420

NPI assigned

Jan 12, 2021

Last updated

Jan 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1679162911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3497 ABBEY WAY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305075045",
            "telephone_number": "770-530-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 JESSE JEWELL PKWY SE STE 360",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013861",
            "telephone_number": "770-534-9420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3497 Abbey Way",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305075045",
            "country_code": "US",
            "telephone_number": "770-530-2732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "BRENT",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "CSFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Andrew Ford, PA-C
• John W Forrest Jr., MD
• William Austin Forshee, DO
• Summer Forte, PHARMD
• Robert Foster, MD
• Joseph Fowler
• Jonathan Fox, CRNA
• Kris Blocker Fox, DO
• Edward N Foxhall, MD
• Beau Daniel Foxworth, MD

• Surgical Assistant in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Surgical Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.