DR. BRIAN ZACH FOWLER (NPI# 1083673636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083673636 |
| Entity Type | Individual |
| Full Name | DR. BRIAN ZACH FOWLER |
| Credential | M.D. |
| Practice Address |
1728 Rockingham Ave Bowling Green KY 42104-3379 |
| Mailing Address |
Po Box 2353 Elizabethtown KY 42702-2353 |
| Practice Telephone | 2709040845 |
| Practice Fax Number | 2709042651 |
| Mailing Telephone | 2707065065 |
| Mailing Fax Number | 2707061082 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2009-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
53446 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM BCBS | 000000637445 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093987893 | Brian T Fowler | Ophthalmology | 930 Madison Ave Ste 200, Memphis, TN 38103-3452 | 2008-04-01 |
| 1912183070 | Brian Scott Fowler | Counselor | 301 Georgia St, Suite 355, Vallejo, CA 94590-5946 | 2008-01-18 |
| 1023003407 | Brian L Fowler | Emergency Medicine | 1201 S Main St, Suite 118, Boerne, TX 78006-2833 | 2005-09-13 |
| Street Address |
1728 ROCKINGHAM AVE |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-3379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083267256 | Commonwealth Health Corporation, Inc. | Radiology | 250 Park St, Bowling Green, KY 42101-1760 | 2019-07-17 |
| 1285052449 | Brooke K Leachman | Radiology | 250 Park St, Bowling Green, KY 42101-1760 | 2014-04-03 |
| 1053446179 | Richard A Mcgahan Psc | Radiology | 250 Park St, The Cancer Center of Southern Kentucky, Bowling Green, KY 42101-1760 | 2007-02-22 |
| 1134181993 | Richard A Mcgahan | Radiology | 250 Park St, Cancer Center of Southern Kentucky, Bowling Green, KY 42101-1760 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780190397 | Medical Associates, LLC | Radiology | 644 Maysville Rd Ste 4, Mount Sterling, KY 40353-9464 | 2017-12-19 |
| 1801259841 | Shilpa Sachdeva Larkin | Radiology | 800 Rose Street Pav H, Lexington, KY 40536-0001 | 2016-03-29 |
| 1992183065 | Denise Fabian | Radiology | Uk Radiation Medicine, 800 Rose St Ste C114d, Lexington, KY 40536-0293 | 2015-05-11 |
| 1104211341 | Alden Klarer | Radiology | 529 South Jackson, Internal Medicine, Acb 3rd Floor, Louisville, KY 40202-1622 | 2015-04-04 |
| 1417342999 | Nicolas P. Burnett | Radiology | 800 Rose St # Hq101, Lexington, KY 40536-7001 | 2015-04-01 |
| 1932468246 | Mark Edmund Bernard | Radiology | 800 Rose Stree, C114, Uk Healthcare Department of Radiation Medicine, Lexington, KY 40536-0293 | 2012-05-07 |
| 1164685012 | Jonathan Michael Feddock | Radiology | 800 Rose Street Hq-101, Lexington, KY 40536-0293 | 2008-07-09 |
| 1699844910 | Birkhead, Eckman & Scharf, P.s.c. | Radiology | 4003 Kresge Way Ste 115, Louisville, KY 40207-4652 | 2006-11-08 |
| 1659469476 | Samuel Ryan Faught | Radiology | 1020 Breckenridge St, Owensboro, KY 42303-0803 | 2006-10-10 |
| 1164513339 | Radiation Oncology Psc | Radiology | 1000 Breckenridge Street, Suite 203, Owensboro, KY 42303-0876 | 2006-09-27 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.