LOW TESTOSTERONE MEN'S CLINIC FW, LLC
NPI 1063895985
Family Medicine in Fort Worth, TX
About Low Testosterone Men's Clinic Fw, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOW TESTOSTERONE MEN'S CLINIC FW, LLC (NPI 1063895985) is a healthcare organization registered as a family medicine in Fort Worth, Texas and active in the NPI registry since July 2015. The organization maintains a secondary practice location in Colleyville and lists Ivonne Herlinda Braxton, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Low Testosterone Men's Clinic Fw, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Low Testosterone Men's Clinic Fw, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Low Testosterone Men's Clinic Fw, LLC's NPI number?
The NPI number for Low Testosterone Men's Clinic Fw, LLC is 1063895985. It was assigned to this organization in the NPPES registry on July 9, 2015.
Where is Low Testosterone Men's Clinic Fw, LLC located?
Low Testosterone Men's Clinic Fw, LLC is located at 6115 Camp Bowie Blvd Ste 140, Fort Worth, TX 76116. The listed phone number is (817) 416-5698.
What is Low Testosterone Men's Clinic Fw, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Low Testosterone Men's Clinic Fw, LLC enrolled in Medicare?
Yes. Low Testosterone Men's Clinic Fw, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Low Testosterone Men's Clinic Fw, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Low Testosterone Men's Clinic Fw, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Low Testosterone Men's Clinic Fw, LLC was last updated on June 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Low Testosterone Men's Clinic Fw, Llc · NPI 1063895985
Family Medicine organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since July 9, 2015.
## Identity
- **NPI:** 1063895985 (Entity type: Organization)
- **Enumerated:** July 9, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Ivonne Braxton, MANAGING MEMBER
## Practice location
- **Address:** 6115 CAMP BOWIE BLVD STE 140, Fort Worth, TX 76116-5500
- **Phone:** (817) 416-5698
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 16, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1063895985) · Data from the CMS NPPES public registry.