Tomas V Cabrera, M.D.

Primary specialty

ContractorTaxonomy code 171W00000X

License

33062 Issued in MO

Practice address

13698 Pike 46 Airport Road
Bowling Green, MO 63334

Phone

(573) 324-9975

Fax

(573) 324-6521

NPI assigned

Jun 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346447158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 OAK BLUFF DR",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671801",
            "telephone_number": "636-561-1955",
            "fax_number": "573-324-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13698 PIKE 46 AIRPORT ROAD",
            "city": "BOWLING GREEN",
            "state": "MO",
            "postal_code": "63334",
            "telephone_number": "573-324-9975",
            "fax_number": "573-324-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "TOMAS",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MO",
            "license": "33062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bowling Green Counseling and Consulting
• Bowling Green Pharmacy Inc.
• Deelena Betty Brand, RPH
• Bonnie Brennen, N.P.
• Heather Lee Brooks, OTR
• Champ Clark Service Coordination
• Kinley Charlton
• Stephen Richard Chismarich, D.D.S.
• Madison Collard, FNP
• James Collins, O.D.

• Contractor in Bowling Green, MO
• Providers in Bowling Green, MO by specialty
• Contractor in Missouri

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.