Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. ROY BRENT WADLE
Active
Individual
DR. ROY BRENT WADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K3520
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0089BS
BCBS
TX
05
—
111773104
—
TX
01
—
45-2578435-001
TRICARE
TX
01
—
45-2578435-002
TRICARE
TX
01
—
752616977118
TRICARE
TX
01
—
8ED759
BCBS
TX
Enumeration date
07/17/2006
Last updated
06/29/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up