Active NPI
George W. Bowers
- Urology Physician
- Fort Wayne, IN
National Provider Identifier
1225287998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 01018306
- Practice address
- 12002 Haddington Court
Fort Wayne, IN 46814 - Phone
- (260) 625-3872
- Fax
- (260) 524-5390
- NPI assigned
- Sep 17, 2008
- Last updated
- Sep 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 01018306 | IN | Primary |
Addresses
Primary practice location
12002 Haddington Court
Fort Wayne, IN 46814
Mailing address
12002 Haddington Court
Fort Wayne, IN 46814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01018306 | IN | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1225287998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12002 HADDINGTON COURT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12002 HADDINGTON COURT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46814",
"telephone_number": "260-625-3872",
"fax_number": "260-524-5390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "GEORGE",
"middle_name": "W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-17",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IN",
"license": "01018306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.