Organization Active NPI

Cecil D Bowen Jr, MD a Profrssional Corporation

  • Diagnostic Radiology Physician
  • Blythe, CA
National Provider Identifier
1902020241
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G66633 Issued in CA
Legal business name
CECIL D BOWEN JR, MD A PROFRSSIONAL CORPORATION
Practice address
250 N 1St St
Blythe, CA 92225-1702
Phone
(760) 921-5202
Fax
(760) 921-8674
NPI assigned
Apr 11, 2007
Last updated
Jan 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Cecil D Bowen Jr., MDNPI 1154482396
Title
Medical Doctor
Phone
(760) 861-0432

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X G66633 CA Primary

Addresses

Primary practice location

250 N 1St St
Blythe, CA 92225-1702

Mailing address

PO Box 1175
Blythe, CA 92226-1175
Phone (760) 861-0432

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1902020241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1175",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922261175",
            "telephone_number": "760-861-0432",
            "fax_number": "760-921-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N 1ST ST",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251702",
            "telephone_number": "760-921-5202",
            "fax_number": "760-921-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECIL D BOWEN JR, MD A PROFRSSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "760-861-0432",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G66633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blythe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.