Individual provider Active NPI

Gerald Lee Dowling, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Bay City, MI
National Provider Identifier
1407855992
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
GD000703 Issued in MI
Practice address
316 S Columbian St
Bay City, MI 48706-2906
Phone
(989) 686-2331
Fax
(989) 686-4493
NPI assigned
Jul 18, 2005
Reactivated
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X GD000703 MI Primary

Addresses

Primary practice location

316 S Columbian St
Bay City, MI 48706-2906

Mailing address

316 S Columbian St
Bay City, MI 48706-2906
Phone (989) 686-2331

Other identifiers 2

IdentifierTypeStateIssuer
1380728MedicaidMI
1093907669OtherMIBLUE CARE NETWORK ADVANTAGE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
GD000703MIMDPrimary Podiatric Medicine Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1407855992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S COLUMBIAN ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062906",
            "telephone_number": "989-686-2331",
            "fax_number": "989-686-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S COLUMBIAN ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062906",
            "telephone_number": "989-686-2331",
            "fax_number": "989-686-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWLING",
        "first_name": "GERALD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2011-10-20",
        "deactivation_date": "2006-03-18",
        "reactivation_date": "2006-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "GD000703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1380728",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK ADVANTAGE",
            "identifier": "1093907669",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.