NPIMap

Organization Active NPI

4MD2 Physician Services of Bowling Green LLC

  • Emergency Medicine Physician
  • Bowling Green, KY
National Provider Identifier
1629101704
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
4MD2 PHYSICIAN SERVICES OF BOWLING GREEN LLC
Practice address
1801 Ashley Cir
Emergency Room
Bowling Green, KY 42104-3362
Phone
(205) 995-0422
NPI assigned
Mar 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Guy Duwane Hooper
Title
President
Phone
(205) 995-0422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

1801 Ashley Cir
Emergency Room
Bowling Green, KY 42104-3362

Mailing address

1028 Highland Lakes Trce
Birmingham, AL 35242-6877
Phone (205) 995-0422

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629101704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 HIGHLAND LAKES TRCE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426877",
            "telephone_number": "205-995-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 ASHLEY CIR",
            "address_2": "EMERGENCY ROOM",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043362",
            "telephone_number": "205-995-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4MD2 PHYSICIAN SERVICES OF BOWLING GREEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "DUWANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-995-0422"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.