Alisa Roseann Bowersock, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

2318 Issued in TN

Practice address

5651 Frist Blvd Ste 201
Hermitage, TN 37076

Phone

(615) 391-0800

Fax

(615) 391-0431

NPI assigned

Jul 2, 2007

Last updated

Jul 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/GynecologyAlso: Osteopathic Manipulative Medicine

Education

University of Pikeville, Kentucky College of Osteopathic Med, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150
• Vanderbilt Wilson County Hospital Hospital, Lebanon, TN, CCN 440193

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Southern Womans Care

  • Obstetrics & Gynecology Physician
  • Hermitage, TN
  • NPI 1225557408
  Medicare reassignment NPD
• Obhg Tennessee, P.C.

  • Obstetrics & Gynecology Physician
  • Jackson, TN
  • NPI 1285924977
  Medicare reassignment
• Women's Health Center, P.C.

  • Specialist
  • Lebanon, TN
  • NPI 1255464541
  NPD
• HCA Health Services of Tennessee, Inc.

  dba Tristar Summit Medical Center

  • General Acute Care Hospital
  • Hermitage, TN
  • NPI 1982650024
  NPD (past)
• Pediatrix Medical Group of Tennessee, P.C.

  • Neonatal-Perinatal Medicine Physician
  • Nashville, TN
  • NPI 1497852107

  Obstetrics & Gynecology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Tennessee, Inc.

  dba Tristar Summit Medical Center

  • General Acute Care Hospital
  • Hermitage, TN
  • NPI 1982650024
  Care Compare affiliation
• Vanderbilt University Medical Center

  dba Vanderbilt Wilson County Hospital

  • General Acute Care Hospital
  • Lebanon, TN
  • NPI 1306889597
  Care Compare affiliation

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1609073626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD STE 201",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762056",
            "telephone_number": "615-391-0800",
            "fax_number": "615-391-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD STE 201",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "37076",
            "telephone_number": "615-391-0800",
            "fax_number": "615-391-0431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 W Baddour Pkwy",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370872652",
            "country_code": "US",
            "telephone_number": "615-449-6780",
            "fax_number": "615-449-1929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5651 Frist Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "37076",
            "country_code": "US",
            "telephone_number": "615-391-0800",
            "fax_number": "615-391-0431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWERSOCK",
        "first_name": "ALISA",
        "middle_name": "ROSEANN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "2318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERN",
            "identifier": "5101017318",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "T030270764",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Egbert Bobo, DC
• Homa Boms, MD
• Melissa Dawn Bond
• Molly Boring, APRN, BC
• Camille Bourne
• Rosetta Bradford, RDN
• Bradley Health Care, Inc
• Alexa Bradshaw
• Zachary Braver, M.A., BCBA, LBA
• Stephanie Brewer, NP

• Obstetrics & Gynecology Physician in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.