Organization Active NPI

Women'S Clinic of Alexandria LLP

  • Obstetrics & Gynecology Physician
  • Alexandria, VA
National Provider Identifier
1053520502
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMEN'S CLINIC OF ALEXANDRIA LLP
Practice address
501 Medical Center Drive
Ste 300
Alexandria, VA 71301-8124
Phone
(318) 443-6336
Fax
(318) 445-1597
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
Dr. Gordon S Bowers, JR
Title
Physician/Owner
Phone
(318) 443-6336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

501 Medical Center Drive
Ste 300
Alexandria, VA 71301-8124

Mailing address

501 Medical Center Drive
Box 30114
Alexandria, VA 71301-8124
Phone (318) 443-6336

Other identifiers 1

IdentifierTypeStateIssuer
1171263MedicaidLA

National Provider Directory

National Provider Directory

Locations

501 Medical Center Dr
Ste 300
Alexandria, LA 71301
Phone (318) 443-6336

501 Medical Center Dr
#30114
Alexandria, LA 71301
Phone (318) 443-6336

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1053520502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MEDICAL CENTER DRIVE",
            "address_2": "BOX 30114",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "713018124",
            "telephone_number": "318-443-6336",
            "fax_number": "318-445-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MEDICAL CENTER DRIVE",
            "address_2": "STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "713018124",
            "telephone_number": "318-443-6336",
            "fax_number": "318-445-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S CLINIC OF ALEXANDRIA LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "318-443-6336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "JR"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1171263",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.