Individual provider Active NPI

Ladoris Beatrice Bowers, MSN, APRN, FNP-C

  • Nurse Practitioner
  • College Station, TX
National Provider Identifier
1245854595
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP1444455 Issued in TX
Practice address
1602 Rock Prairie Rd Ste 3000
College Station, TX 77845-5989
Phone
(979) 774-3232
Fax
(979) 690-4895
NPI assigned
Jun 2, 2020
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP1444455 TX Primary

Addresses

Primary practice location

1602 Rock Prairie Rd Ste 3000
College Station, TX 77845-5989

Mailing address

1602 Rock Prairie Rd Ste 3000
College Station, TX 77845-5989
Phone (979) 774-3232

Other identifiers 2

IdentifierTypeStateIssuer
1245854595MedicaidTX
8SY322OtherTXBCBS PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200728000027 TX Practitioner - Nurse Practitioner 0143644856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph Regional Health CenterGroup PAC ID 5294727921, 141 clinicians

Practice addresses (Care Compare)

1602 Rock Prairie Rd
Suite 3000
College Station, TX 77845-5989
Phone (979) 774-0012

2801 Franciscan Dr
Bryan, TX 77802-2544
Phone (979) 776-2401

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP1444455TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael E Jones MD PA CurrentSince Jul 1, 2020 Accepting new patients
St. Joseph Regional Health Center Nurse Practitioner CurrentSince Feb 6, 2023 Accepting new patients
St Joseph Regional Health Center CurrentSince Feb 6, 2023 Accepting new patients
College Station Hospital LP Past Accepting new patients

Locations

1121 Briarcrest Dr
Ste 303
Bryan, TX 77802
Phone (409) 774-1500

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

4007 Victoria Ave
College Station, TX 77845
Phone (979) 690-4820

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1245854595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD STE 3000",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455989",
            "telephone_number": "979-774-3232",
            "fax_number": "979-690-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD STE 3000",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455989",
            "telephone_number": "979-774-3232",
            "fax_number": "979-690-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "LADORIS",
        "middle_name": "BEATRICE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP1444455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245854595",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "8SY322",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.