Barryfoswaltmd PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BARRYFOSWALTMD PA

Doing business as

Fort Worth Vein Center

Practice address

5668 Edwards Ranch Rd
Suite 200
Fort Worth, TX 76107

Phone

(817) 536-9600

Fax

(817) 677-9698

NPI assigned

Jan 26, 2021

Organization subpart

No

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

Authorized official

Name

Barry Oswalt, MDNPI 1841253556

Title

Owner

Phone

(817) 536-9600

Specialties & licenses 1

Addresses

Other names 1

• Fort Worth Vein Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barry Fussell Oswalt, MD

  • Surgery Physician
  • Fort Worth, TX
  • NPI 1841253556
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1801486568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5668 EDWARDS RANCH RD",
            "address_2": "SUITE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "817-536-9600",
            "fax_number": "817-677-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5668 EDWARDS RANCH RD",
            "address_2": "SUITE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76107",
            "telephone_number": "817-536-9600",
            "fax_number": "817-677-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRYFOSWALTMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "OSWALT",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-536-9600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Worth Vein Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fort Worth Vein Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie C Barron, DO
• Savanna Marie Barron
• Shawne Barron
• Chelsea Barrow, RD
• John Barry, M.D.
• Barrett Bartell
• Hollis Bartels, M.D.
• Colin Barth
• Bernadette V Bartholomew, PNP
• Gary Victor Bartholomew, D.P.M.

• Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.