Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Nortside Medical Clinic, PA

Organization Family Medicine Physician · NPI 1285755504

Nortside Medical Clinic, PA provides Family Medicine Physician services in Fort Worth, Texas. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1600 25th St Ste B
Fort Worth, TX 76106
Phone: (817) 626-3434
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1285755504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Wardlay — Owner · (817) 626-3434
NPI enumeratedApril 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1600 25th Street, Suite B, Fort Worth, TX 76106

Other providers in Fort Worth