Organization Active NPI

Laurence Robert Bower III

  • Radiology Clinic/Center
  • Kerrville, TX
National Provider Identifier
1104271576
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
LAURENCE ROBERT BOWER III
Practice address
207B Sidney Baker Street S
Kerrville, TX 78028
Phone
(830) 496-3058
Fax
(830) 496-3034
NPI assigned
May 4, 2016
Organization subpart
Yes
Parent organization
LAURENCE ROBERT BOWER IIIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Authorized official

Name
Paula D Deleon
Title
Administrator
Phone
(830) 632-7562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

207B Sidney Baker Street S
Kerrville, TX 78028

Mailing address

19A Gruene Park Dr
New Braunfels, TX 78130-2484
Phone (830) 632-7562

Other identifiers 2

IdentifierTypeStateIssuer
0971DCOtherTXBCBS
365018602MedicaidTX

Other names 1

  • MRI Now - Kerrville Doing business as

National Provider Directory

National Provider Directory
Part of
Bob Bower MD PA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1104271576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19A GRUENE PARK DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302484",
            "telephone_number": "830-632-7562",
            "fax_number": "830-632-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207B SIDNEY BAKER STREET S",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "78028",
            "telephone_number": "830-496-3058",
            "fax_number": "830-496-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENCE ROBERT BOWER III",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAURENCE ROBERT BOWER III",
        "enumeration_date": "2016-05-04",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "830-632-7562"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0971DC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365018602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRI Now - Kerrville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.