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DAVID WILLIAM MIZE
NPI 1609762079
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Active since June 13, 2025PECOS Enrolled
3500 CAMP BOWIE BLVD, FORT WORTH, TX 76107(817) 735-2000 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About David William Mize NPPES

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

DAVID WILLIAM MIZE (NPI 1609762079) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609762079
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAVID WILLIAM MIZE
Location Address3500 CAMP BOWIE BLVDFort Worth, TX 76107-2644
Mailing Address3109 Haynes DrMidland, TX 79705-4212 · (972) 413-5050
Phone(817) 735-2000
Sole ProprietorNo
Enumeration DateJune 13, 2025
NPPES CertifiedJune 13, 2025
✔ NPI 1609762079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3500 CAMP BOWIE BLVD, Fort Worth, TX 76107
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David William Mize is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH LAWRENCE MILLER PT, DPT
Physical Therapist
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 735-5466
MRS. MADELINE GRACE JOHNSON
Student in an Organized Health Care Education/Training Program
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 735-2000
NATASHA CHUGH
Student in an Organized Health Care Education/Training Program
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 735-2000
JORDYN RICKS
Student in an Organized Health Care Education/Training Program
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 735-2000
CRYSTAL HOWELL PHARMD
Pharmacist
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (512) 694-1275
JORDE ALEXANDRA TRUDEL PA-C
Physician Assistant
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 735-2301
DR. SARAH JUSTINE PAYNE PHARM.D.
Pharmacist (Pharmacotherapy)
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 735-0636
ELIZABETH BROWNELL
Student in an Organized Health Care Education/Training Program
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (319) 777-9880

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 David Mize's NPI number?

The NPI number for David Mize is 1609762079. It was assigned to this individual provider in the NPPES registry on June 13, 2025.

Where is David Mize located?

David Mize practices at 3500 Camp Bowie Blvd, Fort Worth, TX 76107. The listed phone number is (817) 735-2000.

What is David Mize's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is David Mize enrolled in Medicare?

Yes. David Mize is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Mize was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.