Bruce P. McDowell, DENTIST

Primary specialty

DentistTaxonomy code 122300000X

License

12008112 Issued in IN

Practice address

3520 E 96TH St
Suite 7
Indianapolis, IN 46240-3782

Phone

(317) 846-2882

Fax

(317) 846-7650

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316089055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 E 96TH ST",
            "address_2": "SUITE 7",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403782",
            "telephone_number": "317-846-2882",
            "fax_number": "317-846-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 E 96TH ST",
            "address_2": "SUITE 7",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403782",
            "telephone_number": "317-846-2882",
            "fax_number": "317-846-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "BRUCE",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "DENTIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12008112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith McDorman, RBT
• Grant E McDougal, MD
• Paul D McDougal, MD
• Christopher J McDougle, M.D.
• Barbara McDowell
• Christopher Michael McDowell, M.D.
• Diane Evelyn McDowell, LCSW
• Gemma Elizabeth McDowell
• Hannah McDowell
• Jessica L McDowell

• Dentist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.