Individual
DR. JOHN BRADLEY FITZWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 E 32ND ST, SUITE 306, AUSTIN, TX 78705-2707
(512) 459-1200
(512) 459-0404
Mailing address
12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 78758-0000
(512) 901-2533
(512) 459-0404
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L0174
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006MH
BLUE CROSS
TX
01
—
10035722
AMERIGROUP
TX
05
—
141250405
—
TX
05
—
141250406
—
TX
01
—
7269218
AETNA
TX
Enumeration date
05/10/2006
Last updated
07/15/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us