Bowden Internal Medicine,PLLC

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

Legal business name

BOWDEN INTERNAL MEDICINE,PLLC

Practice address

1652 Madison Ave
Memphis, TN 38104-2508

Phone

(901) 278-9538

Fax

(901) 726-9883

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Marcia R Bowden, MDNPI 1083641252

Title

Owner

Phone

(901) 278-9538

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Tax ID family

Bowden Internal Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bowden Internal Medicine

  • Ph.D. Medical Genetics
  • Memphis, TN
  • NPI 1154373330
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcia R Bowden, MD

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1083641252

  Medical Genetics, PH.D. Medical Genetics

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1104040229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042508",
            "telephone_number": "901-278-9538",
            "fax_number": "901-726-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042508",
            "telephone_number": "901-278-9538",
            "fax_number": "901-726-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWDEN INTERNAL MEDICINE,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-278-9538",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delia Boutwell, MA, CCC-SLP
• Lauren M Boutwell, PHARMD
• Bowden Gastro Associates LLC
• Bowden Injury & Rehabilitation
• Bowden Internal Medicine
• Christopher C Bowden, MHC, MBA
• Dia Tseday Bowden
• Marcia R Bowden, MD
• Martha Michelle Bowden, M.D.
• Phillip R Bowden, M.D.

• Ph.D. Medical Genetics in Memphis, TN
• Providers in Memphis, TN by specialty
• Ph.D. Medical Genetics in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.