Individual provider Active NPI

Bernard A McGowen, MD

  • Internal Medicine Physician
  • Arlington, TX
National Provider Identifier
1043252257
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E2716 Issued in TX
Practice address
1217 Florida Dr
Suite 121
Arlington, TX 76015-2380
Phone
(817) 419-9155
Fax
(817) 419-9412
NPI assigned
Jun 12, 2006
Last updated
Aug 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E2716 TX Primary

Addresses

Primary practice location

1217 Florida Dr
Suite 121
Arlington, TX 76015-2380

Mailing address

1217 Florida Dr
Suite 121
Arlington, TX 76015-2380
Phone (817) 419-9155

Other identifiers 3

IdentifierTypeStateIssuer
135471411MedicaidTX
135471409MedicaidTX
135471410MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Physicians, P.a. Internal Medicine Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Internal Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1043252257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 FLORIDA DR",
            "address_2": "SUITE 121",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152380",
            "telephone_number": "817-419-9155",
            "fax_number": "817-419-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 FLORIDA DR",
            "address_2": "SUITE 121",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152380",
            "telephone_number": "817-419-9155",
            "fax_number": "817-419-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWEN",
        "first_name": "BERNARD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E2716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135471411",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135471409",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135471410",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.