JUSTIN FOWLER MD – NPI #1386835585
Surgery

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

JUSTIN FOWLER is a surgeon located in BOISE, ID. NPPES has assigned the NPI number 1386835585 to JUSTIN FOWLER on August 05, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 5 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0102X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Surgical Critical Care

The NPI profile was last updated on Dec 16, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JUSTIN FOWLER below.

NPI Profile for
JUSTIN FOWLER

NPI Number
1386835585
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JUSTIN FOWLER
Credentials
MD
Primary location
6165 W EMERALD ST
BOISE, ID 83704-8613
Phone: (208) 302-3900 Fax: (208) 302-3955
5 Other location(s):
6565 E Carondelet Dr Ste 235
Tucson, AZ 85710-3533
Phone: (520) 367-1050
2606 Hospital Blvd Ste E
Corpus Christi, TX 78405
Phone: (361) 902-4766
Fax: (361) 902-6571
613 Elizabeth St Ste 804
Corpus Christi, TX 78404-2231
Phone: (361) 217-6264
5005 N Piedras St
El Paso, TX 79920-5001
Phone: (915) 569-2288
Fax: (915) 569-1919
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone: (210) 539-9582
Mailing address
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone: (210) 916-3174 Fax:
Sole Proprietor
No
Updated
Certification Date
Dec 16, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JUSTIN FOWLER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMCRRTXP02601779
otherMEDICARETX1L5640
otherMO LICENSEMO2016027259
medicaidTX390382503
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0102X
- Surgery / Surgical Critical Care (Primary)
ID M-13069
207XX0801X
- Orthopaedic Surgery / Orthopaedic Trauma
MO 2016027259
171000000X
- Military Health Care Provider

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY - Graduated 2007
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JUSTIN FOWLER is affiliated with the following medical group(s):
  • HOSPITAL
    • CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI
      600 ELIZABETH STREET
      CORPUS CHRISTI, TX 78404
    • MONUMENT HEALTH RAPID CITY HOSPITAL
      353 FAIRMONT BLVD POST OFFICE BOX 6000
      RAPID CITY, SD 57701

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.