James Z Bowcock MD PC

Primary specialty

Diagnostic Neuroimaging (Psychiatry & Neurology) PhysicianTaxonomy code 2084D0003X

Legal business name

JAMES Z BOWCOCK MD PC

Practice address

4530 S Berkeley Lake Rd
Suite B
Norcross, GA 30071-1660

Phone

(770) 417-2764

Fax

(770) 447-0811

NPI assigned

Jul 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. James Zitzer Bowcock, M.D.

Title

President/Owner

Phone

(770) 417-2764

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1457792657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920520",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300100520",
            "telephone_number": "770-417-2764",
            "fax_number": "770-447-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 S BERKELEY LAKE RD",
            "address_2": "SUITE B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711660",
            "telephone_number": "770-417-2764",
            "fax_number": "770-447-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES Z BOWCOCK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "BOWCOCK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ZITZER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "770-417-2764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084D0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "8040",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Neuroimaging (Psychiatry & Neurology) Physician in Norcross, GA
• Providers in Norcross, GA by specialty
• Diagnostic Neuroimaging (Psychiatry & Neurology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.