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

Grady Fowler

Individual provider Physician Assistant · NPI 1033756887

Grady Fowler is a Physician Assistant in Albuquerque, New Mexico. Qualified in 2019, 7 years ago. Practices with New Mexico Orthopaedic Associates PC, a 74-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
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Practice location Address checks out

2100 Louisiana Blvd NE Ste 410
Albuquerque, NM 87110-5412
Phone: (505) 724-4300
Fax: (505) 338-0034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1033756887
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 27, 2019
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 6, 2022
Mailing address2100 Louisiana Blvd Ne, Ste 410, Albuquerque, NM 87110-5412

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice New Mexico Orthopaedic Associates Pc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Albuquerque