Derrick Bowling MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DERRICK BOWLING MD PA

Practice address

3516 NE 12TH Ave
Oakland Park, FL 33334-4524

Phone

(954) 459-5487

NPI assigned

Mar 11, 2020

Last updated

Mar 11, 2020By 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. Derrick Bowling, MDNPI 1184626277

Title

MD/Owner

Phone

(205) 388-8863

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Derrick Bowling, MD

  • Family Medicine Physician
  • Oakland Park, FL
  • NPI 1184626277
  Authorized official Same address or phone

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1770118655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 NE 22ND ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051115",
            "telephone_number": "205-388-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 NE 12TH AVE",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344524",
            "telephone_number": "954-459-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERRICK BOWLING MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "BOWLING",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "205-388-8863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie Delva, PHLEBOTOMIST
• Chevella Dennis
• Ruth Denord
• Dentists of Oakland Park PA (Dentists of Oakland Park)
• Dept of Veteran Affairs
• Kelly Desir
• Alberto Quintin Despaigne, DDS
• Michel-Ange Edouard Destine
• Marie Desvarennes, TT
• Determined Care

• Primary Care Clinic/Center in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.