Bowdoin G. Smith D.O.,P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO741 Issued in TN

Legal business name

BOWDOIN G. SMITH D.O.,P.C.

Practice address

9 Maggart Cir
Carthage, TN 37030-2151

Phone

(615) 735-0202

Fax

(615) 735-3011

NPI assigned

Jun 11, 2007

Last updated

Nov 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bowdoin Grayson Smith, D.O.NPI 1346345154

Title

Physician Owner

Phone

(615) 735-0202

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Bowdoin Grayson Smith, D.O.

  • Family Medicine Physician
  • Carthage, TN
  • NPI 1346345154
  Authorized official Same address or phone
• Karen L Sexton, PA-C

  • Physician Assistant
  • Gordonsville, TN
  • NPI 1184606519
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1659575181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MAGGART CIR",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370302151",
            "telephone_number": "615-735-0202",
            "fax_number": "615-735-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MAGGART CIR",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370302151",
            "telephone_number": "615-735-0202",
            "fax_number": "615-735-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWDOIN G. SMITH D.O.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BOWDOIN",
        "authorized_official_middle_name": "GRAYSON",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "615-735-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Carthage, TN
• Providers in Carthage, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.