Active NPI
Extended Medical Management Services, Inc.
- Geriatric Medicine (Internal Medicine) Physician
- Dallas, TX
National Provider Identifier
1861577579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- M2309
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | M2309 | TX | Primary |
| Gerontology Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Dallas, TX
- NPI 1457492530
-
- Adult Health Nurse Practitioner
- Dallas, TX
- NPI 1417045477
-
- Family Medicine Physician
- Irving, TX
- NPI 1851329932
-
- Internal Medicine Physician
- Ozark, MO
- NPI 1477577708
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.