Organization Active NPI

Extended Medical Management Services, Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Dallas, TX
National Provider Identifier
1861577579
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
M2309 Issued in TX
Legal business name
EXTENDED MEDICAL MANAGEMENT SERVICES, INC.
Practice address
13140 Coit Rd
Suite 212
Dallas, TX 75240-5755
Phone
(469) 330-2444
Fax
(469) 330-2396
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Derrick L Bowman Sr.
Title
President
Phone
(469) 330-2444

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X M2309 TX Primary
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X 506447 TX

Addresses

Primary practice location

13140 Coit Rd
Suite 212
Dallas, TX 75240-5755

Mailing address

13140 Coit Rd
Suite 212
Dallas, TX 75240-5755
Phone (469) 330-2444

Other names 1

  • HomeCare Doctors of America-Dallas Doing business as

National Provider Directory

National Provider Directory

Locations

13140 Coit Rd
Ste 212
Dallas, TX 75240
Phone (469) 330-2444

13140 Coit Rd
Ste 510
Dallas, TX 75240
Phone (214) 548-7297

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1861577579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13140 COIT RD",
            "address_2": "SUITE 212",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405755",
            "telephone_number": "469-330-2444",
            "fax_number": "469-330-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13140 COIT RD",
            "address_2": "SUITE 212",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405755",
            "telephone_number": "469-330-2444",
            "fax_number": "469-330-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED MEDICAL MANAGEMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-330-2444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "M2309",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "506447",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeCare Doctors of America-Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.