Organization Active NPI

Bruce M Lowrie MD Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Beachwood, OH
National Provider Identifier
1891990511
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
35-054459 Issued in OH
Legal business name
BRUCE M LOWRIE MD INC
Practice address
23250 Chagrin Blvd
Ste # 150
Beachwood, OH 44122-5470
Phone
(216) 625-1036
Fax
(216) 896-0766
NPI assigned
Jun 21, 2007
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
Dr. Bruce M. Lowrie, M.D.
Title
President
Phone
(216) 625-1036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X 35-054459 OH Primary

Addresses

Primary practice location

23250 Chagrin Blvd
Ste # 150
Beachwood, OH 44122-5470

Mailing address

23250 Chagrin Blvd
Ste # 150
Beachwood, OH 44122-5470
Phone (216) 625-1036

Other identifiers 1

IdentifierTypeStateIssuer
0776905MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891990511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23250 CHAGRIN BLVD",
            "address_2": "STE # 150",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225470",
            "telephone_number": "216-625-1036",
            "fax_number": "216-896-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23250 CHAGRIN BLVD",
            "address_2": "STE # 150",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225470",
            "telephone_number": "216-625-1036",
            "fax_number": "216-896-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE M LOWRIE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOWRIE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-625-1036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35-054459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0776905",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

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.