Active NPI
Bowden Gastro Associates LLC
- Ambulatory Surgical Clinic/Center
- Memphis, TN
National Provider Identifier
1952820037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- BOWDEN GASTRO ASSOCIATES LLC
- Practice address
- 1417 Monroe Ave
Memphis, TN 38104-3634 - Phone
- (901) 272-0821
- NPI assigned
- Sep 11, 2017
- 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
- William S Montgomery Jr.
- Title
- Market President
- Phone
- (615) 545-9132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1417 Monroe Ave
Memphis, TN 38104-3634
Mailing address
401 Commerce St Ste 600
Nashville, TN 37219-2518
Phone (615) 345-6900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181023003230 | TN | Part B Supplier - Ambulatory Surgical Center | 6800149741 | Practice locations: Memphis, TN |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Memphis, TN
- NPI 1275649063
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773705600000",
"number": "1952820037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 COMMERCE ST STE 600",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372192518",
"telephone_number": "615-345-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 MONROE AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043634",
"telephone_number": "901-272-0821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOWDEN GASTRO ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-11",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A",
"authorized_official_last_name": "MONTGOMERY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MARKET PRESIDENT",
"authorized_official_telephone_number": "615-545-9132",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.