Active NPI
Gerald Lee Dowling, D.P.M.
- Primary Podiatric Medicine Podiatrist
- Bay City, MI
National Provider Identifier
1407855992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- GD000703
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1380728 | Medicaid | MI | |
| 1093907669 | Other | MI | BLUE 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
| License | State | Type | Specialty |
|---|---|---|---|
| GD000703 | MI | MD | Primary 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.