Individual provider · Type 1 NPI

Brent Cody Makijarvi Fowler, DO

Sports Medicine (Family Medicine) Physician · Stephenville, TX

NPI number 1528684339 Active

Practice location

150 River North Blvd
Stephenville, TX 76401-1860

Call (549) 686-0512 Map

Mailing address

4140 Centennial Hills Blvd
Casper, WY 82609-3265

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X14933A (WY)
Sports Medicine (Family Medicine) Physician 207QS0010X14933A (WY)
Sports Medicine (Family Medicine) Physician Primary 207QS0010XT9392 (TX)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1528684339

Brent Cody Makijarvi Fowler, DO's National Provider Identifier is 1528684339, issued on Jun 18, 2020. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Stephenville, TX. The record was last updated on Jun 26, 2025.