Harold Dean Bowker III, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

4301112110 Issued in MI

Practice address

16633 Dallas Pkwy Ste 100
Addison, TX 75001-6894

Phone

(919) 604-2185

Fax

(214) 853-5608

NPI assigned

Jul 6, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1063777985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 MILL RUN RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752446430",
            "telephone_number": "919-604-2185",
            "fax_number": "214-853-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 DALLAS PKWY STE 100",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016894",
            "telephone_number": "919-604-2185",
            "fax_number": "214-853-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWKER",
        "first_name": "HAROLD",
        "middle_name": "DEAN",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2023-01-11",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MI",
            "license": "4301112110",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "R73514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alycia Jeanne Boggs, M.S., CCC-SLP
• Erica Boghani, SLP-ASSISTANT
• Andrea Ellie Bologna, DC
• Ruth Bosire, NP
• Jerome Anthony Bowers, PRACTICUM CLINICIAN
• Ashley Nicole Brandish, PT, DPT
• Kathlyn R Brewington, SLP/CCC
• Brewster Counseling
• Briargrove Anesthesia PLLC
• Lainee Cara Bries

• All providers in Addison, TX
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.