Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dewitt Charles Fortenberry, MD

Individual provider Emergency Medicine Physician · NPI 1114960473

Dewitt Charles Fortenberry, MD is an Internal Medicine in Texarkana, Texas. Graduated from Johns Hopkins University School of Medicine in 1990, 36 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
36
Trained at
Johns Hopkins University School of Medicine
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2602 Saint Michael Dr Ste 302
Texarkana, TX 75503-2387
Phone: (903) 336-2391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4920 Elizabeth St, Texarkana, TX 75503-2912 — (903) 792-3812

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence L8691 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence L8691 (TX)

Record details

NPI number1114960473
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 14, 2006
Last updated in NPPESSeptember 17, 2023
Certification dateSeptember 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolJOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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