Active NPI
Anderson Aesthetics and Reconstructive Surgery PLLC
- Plastic and Reconstructive Surgery Physician
- Bowling Green, KY
National Provider Identifier
1093634214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- ANDERSON AESTHETICS AND RECONSTRUCTIVE SURGERY PLLC
- Practice address
- 1802 Rockingham Ave
Bowling Green, KY 42104-3348 - Phone
- (270) 407-1334
- NPI assigned
- Jul 13, 2026
- Last updated
- Jul 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Anderson, MD
- Title
- Owner
- Phone
- (270) 407-1334
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | NU | Primary |
Addresses
Primary practice location
1802 Rockingham Ave
Bowling Green, KY 42104-3348
Mailing address
1802 Rockingham Ave
Bowling Green, KY 42104-3348
Phone (270) 407-1334
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic and Reconstructive Surgery Physician
- Roanoke, VA
- NPI 1679101752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783900800000",
"number": "1093634214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 ROCKINGHAM AVE",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043348",
"telephone_number": "270-407-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 ROCKINGHAM AVE",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043348",
"telephone_number": "270-407-1334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDERSON AESTHETICS AND RECONSTRUCTIVE SURGERY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-13",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-407-1334",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.