Organization Active NPI

Bowie Internal Medicine Associates

  • Internal Medicine Physician
  • Bowie, MD
National Provider Identifier
1205367463
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BOWIE INTERNAL MEDICINE ASSOCIATES
Practice address
14999 Health Center Dr
Suite 201
Bowie, MD 20716-1074
Phone
(301) 262-8188
Fax
(301) 464-8233
NPI assigned
Mar 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Stephanie McConkey
Title
Office Manager
Phone
(301) 262-8188

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X

Addresses

Primary practice location

14999 Health Center Dr
Suite 201
Bowie, MD 20716-1074

Mailing address

14999 Health Center Dr
Suite 201
Bowie, MD 20716-1074
Phone (301) 262-8188

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1205367463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14999 HEALTH CENTER DR",
            "address_2": "SUITE 201",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161074",
            "telephone_number": "301-262-8188",
            "fax_number": "301-464-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14999 HEALTH CENTER DR",
            "address_2": "SUITE 201",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161074",
            "telephone_number": "301-262-8188",
            "fax_number": "301-464-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWIE INTERNAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "MCCONKEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-262-8188"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.