DR. JUSTIN FOWLER MD NPI 1386835585

NPI Information

NPI: 1386835585
Provider Name: DR. JUSTIN FOWLER, MD
Classification: Surgery - 2086S0102X
Specialization: Surgical Critical Care
Entity Type: Individual
PECOS Registration: Yes
Address: 6165 W EMERALD ST
BOISE, ID
ZIP 83704
Phone: (208) 302-3900

Map and Directions

Get Directions

NPI Details

DR. Justin Fowler, MD is a surgical critical care surgery in Boise, ID with 18 years of experience. The provider is 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. DR. Justin Fowler, MD NPI is 1386835585. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:2007

The provider's business location address is:

6165 W EMERALD ST
BOISE, ID
ZIP 83704-613
Phone: (208) 302-3900
Fax: (208) 302-3955

The NPI 1386835585 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 8/5/2007 and was last updated on 12/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207XX0801X	Orthopaedic Surgery	Orthopaedic Trauma	M-13069	IDAHO	No
2	2086S0102X	Surgery	Surgical Critical Care	M-13069	IDAHO	Yes
3	207XX0801X	Orthopaedic Surgery	Orthopaedic Trauma	MD2014-0304	NEW MEXICO	No
4	207XX0801X	Orthopaedic Surgery	Orthopaedic Trauma	2016027259	MISSOURI	No
5	207XX0801X	Orthopaedic Surgery	Orthopaedic Trauma	Q6009	TEXAS	No
6	171000000X	Military Health Care Provider				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2016027259	OTHER	MISSOURI	MO LICENSE
2	1L5640	OTHER	TEXAS	MEDICARE
3	P02601779	OTHER	TEXAS	MCRR
4	390382503	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI