Organization Active NPI

Subhash C Bowry MD PC

  • Gastroenterology Physician
  • Malden, MA
National Provider Identifier
1386701027
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
34158 Issued in MA
Legal business name
SUBHASH C BOWRY MD PC
Practice address
440 Pleasant St
Malden, MA 02148-8103
Phone
(781) 324-6700
Fax
(781) 322-0505
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Authorized official

Name
Mr. Subhash C Bowry, MD
Title
President Owner
Phone
(781) 324-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 34158 MA Primary

Addresses

Primary practice location

440 Pleasant St
Malden, MA 02148-8103

Mailing address

440 Pleasant St
Malden, MA 02148-8103
Phone (781) 324-6700

Other identifiers 2

IdentifierTypeStateIssuer
92015889MedicaidMA
M12375OtherMAMEDICARE GROUP

National Provider Directory

National Provider Directory

Locations

440 Pleasant St
Malden, MA 02148
Phone (781) 322-3300

Practitioners & affiliated clinicians

Practitioners 2

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1386701027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 PLEASANT ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021488103",
            "telephone_number": "781-324-6700",
            "fax_number": "781-322-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 PLEASANT ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021488103",
            "telephone_number": "781-324-6700",
            "fax_number": "781-322-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBHASH C BOWRY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "BOWRY",
        "authorized_official_first_name": "SUBHASH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "781-324-6700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "34158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92015889",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "M12375",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.