Organization Active NPI

John D Bower MD PA

  • Nephrology Physician
  • Ridgeland, MS
National Provider Identifier
1871526210
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
JOHN D BOWER MD PA
Practice address
578 Highland Colony Pkwy
Suite 120
Ridgeland, MS 39157-8779
Phone
(601) 607-3163
Fax
(601) 607-3164
NPI assigned
Jul 9, 2006
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
John Donald Bower, M.D.
Title
President
Phone
(601) 607-3163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

578 Highland Colony Pkwy
Suite 120
Ridgeland, MS 39157-8779

Mailing address

578 Highland Colony Pkwy
Suite 120
Ridgeland, MS 39157-8779
Phone (601) 607-3163

Other identifiers 1

IdentifierTypeStateIssuer
08773598MedicaidMS

National Provider Directory

National Provider Directory

Locations

578 Highland Colony Pkwy
Ste 120
Ridgeland, MS 39157
Phone (601) 607-3163

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871526210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 HIGHLAND COLONY PKWY",
            "address_2": "SUITE 120",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578779",
            "telephone_number": "601-607-3163",
            "fax_number": "601-607-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 HIGHLAND COLONY PKWY",
            "address_2": "SUITE 120",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578779",
            "telephone_number": "601-607-3163",
            "fax_number": "601-607-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D BOWER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-607-3163",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08773598",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

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.