Active NPI
Subhash C Bowry MD PC
- Gastroenterology Physician
- Malden, MA
National Provider Identifier
1386701027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 34158
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92015889 | Medicaid | MA | |
| M12375 | Other | MA | MEDICARE GROUP |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1427185305
-
- Vascular Surgery Physician
- Lynnfield, MA
- NPI 1043409295
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.