Individual provider Active NPI

Michael G Bowers, M.D.

  • Diagnostic Radiology Physician
  • Rochester, NY
National Provider Identifier
1467442491
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
168513 Issued in NY
Practice address
2263 S Clinton Ave
Rochester, NY 14618-2623
Phone
(585) 241-6400
Fax
(585) 241-6505
NPI assigned
Oct 21, 2005
Last updated
Dec 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 168513 NY Primary

Addresses

Primary practice location

2263 S Clinton Ave
Rochester, NY 14618-2623

Mailing address

2263 S Clinton Ave
Rochester, NY 14618-2623
Phone (585) 218-8005

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
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Imaging, LLC Diagnostic Radiology Past Accepting new patients
Great Lakes Medical Imaging LLC Diagnostic Radiology PastSince Mar 1, 2012 Accepting new patients
Ide Imaging Partners, Inc Diagnostic Radiology PastSince Aug 1, 2015 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1467442491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182623",
            "telephone_number": "585-218-8005",
            "fax_number": "585-218-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2263 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182623",
            "telephone_number": "585-241-6400",
            "fax_number": "585-241-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "168513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.