Active NPI
Cecil D Bowen Jr, MD a Profrssional Corporation
- Diagnostic Radiology Physician
- Blythe, CA
National Provider Identifier
1902020241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G66633
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cecil D Bowen Jr., MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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 DirectoryPractitioners & 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.
-
- Diagnostic Radiology Physician
- Blythe, CA
- NPI 1154482396
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.