Gulf Coast Neurology Center, PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

GULF COAST NEUROLOGY CENTER, PLLC

Practice address

3631 Bienville Blvd
Suite a
Ocean Springs, MS 39564-5702

Phone

(228) 818-9620

Fax

(228) 818-9750

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lennon E Bowen IV, M.D.NPI 1619919156

Title

Manager

Phone

(228) 818-9620

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Lennon E. Bowen IV, M.D.

  • Neurology Physician
  • Vancleave, MS
  • NPI 1619919156
  NPD (past) Authorized official
• Karmen Renee Clark, PA-C

  • Physician Assistant
  • Ocean Springs, MS
  • NPI 1619035029
  NPD (past)
• William J Evans, MD

  • Neurology Physician
  • Ocean Springs, MS
  • NPI 1619913761
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1891833299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 BIENVILLE BLVD",
            "address_2": "SUITE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645702",
            "telephone_number": "228-818-9620",
            "fax_number": "228-818-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 BIENVILLE BLVD",
            "address_2": "SUITE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645702",
            "telephone_number": "228-818-9620",
            "fax_number": "228-818-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST NEUROLOGY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "LENNON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "228-818-9620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "646000515",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Children'S Clinic, PA
• Gulf Coast Family Counseling Agency
• Gulf Coast Hearing Systems
• Gulf Coast Hospice, LLC
• Gulf Coast Integrative Health, Inc
• Gulf Coast Physical Medicine Health and Rehabiliatation Inc
• Gulf Coast Plastic & Reconstructive Surgery, PLLC
• Gulf Coast Radiology Group, PA
• Gulf Coast Rehabilitation, PC
• Gulf Coast Sleep Medicine LLC

• Neurology Physician in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Neurology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.