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NORTSIDE MEDICAL CLINIC, P.A.
NPI 1285755504
Family Medicine in Fort Worth, TX

Active since April 03, 2007
1600 25TH STREET, SUITE B, FORT WORTH, TX 76106(817) 626-3434 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nortside Medical Clinic, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTSIDE MEDICAL CLINIC, P.A. (NPI 1285755504) is a healthcare organization registered as a family medicine in Fort Worth, Texas and active in the NPI registry since April 2007. The organization lists Bruce E. Wardlay, Owner, as its authorized official.

NPPES Registry Identity

NPI1285755504
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTSIDE MEDICAL CLINIC, P.A.
Location Address1600 25TH STREET, SUITE BFort Worth, TX 76106
Mailing Address1600 25th Street, Suite BFort Worth, TX 76106 · (817) 626-3434
Phone(817) 626-3434
Organization SubpartNo
Authorized OfficialBruce E. WardlayOwner · (817) 626-3434
Enumeration DateApril 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1285755504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1600 25TH STREET, Fort Worth, TX 76106
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Nortside Medical Clinic, P.A.'s NPI number?

The NPI number for Nortside Medical Clinic, P.A. is 1285755504. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is Nortside Medical Clinic, P.A. located?

Nortside Medical Clinic, P.A. is located at 1600 25th Street Suite B, Fort Worth, TX 76106. The listed phone number is (817) 626-3434.

What is Nortside Medical Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Nortside Medical Clinic, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.