Active NPI
Jacquelyn Marie Bowers, M.D.
- Emergency Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD.201347
- Practice address
- 3500 Gaston Ave
Dallas, TX 75246-2017 - Phone
- (800) 422-9567
- NPI assigned
- May 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD.201347 | LA | Primary |
Addresses
Primary practice location
3500 Gaston Ave
Dallas, TX 75246-2017
Mailing address
3500 Gaston Avenue
Baylor University Medical Center
Dallas, TX 75246
Phone (800) 422-9567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21487 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Louisiana State University School of Medicine in Shreveport, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.201347 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cross Lake Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Lasalle Parish Hospital Service District #1 | Current | Accepting new patients | |
| Lasalle Parish Hospital Service District #1 | Current | Accepting new patients | |
| Concord North Texas, PLLC | Emergency Medicine | Current | Accepting new patients |
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Sound Physicians Emergency Medicine of Louisiana Inc | Emergency Medicine | Current | Accepting new patients |
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Emergency Medicine | Current | Accepting new patients |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Ellis Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
| Dallas Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
| Brfhh Shreveport LLC | Past | Accepting new patients | |
| Hebron Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600
2351 Viking Dr
Bossier City, LA 71111
Phone (318) 681-4500
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435
524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455
4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000
1102 N Pine Rd
Olla, LA 71465
Phone (318) 495-5302
8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
Emergency Medicine
-
- Emergency Medicine Physician
- Shreveport, LA
- NPI 1013497114
-
dba Hardtner Medical Center
- Critical Access Hospital
- Olla, LA
- NPI 1184815466
-
- Emergency Medicine Physician
- Lake Charles, LA
- NPI 1396253407
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
dba Hardtner Medical Clinic
- Rural Health Clinic/Center
- Olla, LA
- NPI 1053415745
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1457301756
-
- Emergency Medicine Physician
- Waxahachie, TX
- NPI 1902856107
-
- Emergency Medicine Physician
- Carrollton, TX
- NPI 1326098518
-
dba University Health Shreveport
- General Acute Care Hospital
- Shreveport, LA
- NPI 1912909912
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ochsner LSU Health Shreveport
- General Acute Care Hospital
- Shreveport, LA
- NPI 1427536325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1891906327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 GASTON AVENUE",
"address_2": "BAYLOR UNIVERSITY MEDICAL CENTER",
"city": "DALLAS",
"state": "TX",
"postal_code": "75246",
"telephone_number": "800-422-9567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462017",
"telephone_number": "800-422-9567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "JACQUELYN",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "MD.201347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21487",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.