Organization Active NPI

Bradley R Dowden MD Apmc

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1144522442
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
201631 Issued in LA
Legal business name
BRADLEY R DOWDEN MD APMC
Practice address
601 W Saint Mary Blvd
Suite 210
Lafayette, LA 70506-3568
Phone
(337) 291-1162
Fax
(337) 231-6943
NPI assigned
Nov 19, 2010
Last updated
Nov 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Dr. Bradley R Dowden, MD
Title
President
Phone
(337) 291-1162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 201631 LA Primary

Addresses

Primary practice location

601 W Saint Mary Blvd
Suite 210
Lafayette, LA 70506-3568

Mailing address

601 W Saint Mary Blvd
Suite 210
Lafayette, LA 70506-3568
Phone (337) 291-1162

Other identifiers 1

IdentifierTypeStateIssuer
1016462MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1144522442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W SAINT MARY BLVD",
            "address_2": "SUITE 210",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063568",
            "telephone_number": "337-291-1162",
            "fax_number": "337-231-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W SAINT MARY BLVD",
            "address_2": "SUITE 210",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063568",
            "telephone_number": "337-291-1162",
            "fax_number": "337-231-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY R DOWDEN MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "DOWDEN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-291-1162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "201631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016462",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.