Derrick Bowling (NPI# 1184626277, PAC ID# 2264474188) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1184626277 |
| PAC ID by PECOS | 2264474188 |
| Professional Enrollment ID | I20050601000377 |
| Full Name | Derrick Bowling |
| Organization Legal Name | JASPER FAMILY PRACTICE CENTER PC |
| Address |
2201 N Airport Rd Jasper AL 35504-7058 |
| Phone Number | 2052219351 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 2163494139 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010089 | WALKER BAPTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2201 N Airport Rd, Jasper, AL 35504-7058 | 2052219351 | JASPER FAMILY PRACTICE CENTER PC |
| Organization Legal Name | JASPER FAMILY PRACTICE CENTER PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Bivona | Family Medicine | Jasper Family Practice Center PC | 2201 N Airport Rd, Jasper, AL 35504-7058 |
| John S Bivona | Family Medicine | Jasper Family Practice Center PC | 2201 N Airport Rd, Jasper, AL 35504-7058 |
| Street Address |
2201 N AIRPORT RD |
| City | JASPER |
| State | AL |
| Zip | 35504-7058 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Bivona | Family Medicine | Jasper Family Practice Center PC | 2201 N Airport Rd, Jasper, AL 35504-7058 |
| John S Bivona | Family Medicine | Jasper Family Practice Center PC | 2201 N Airport Rd, Jasper, AL 35504-7058 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daryl G Custred | Optometry | 1499 Airport Rd N, Jasper, AL 35504 | |
| Carol L Adams | General Surgery | 300 N Airport Rd, Suite 2, Jasper, AL 35504-2516 | |
| David T Wesley | Optometry | Wesley Optometry PC | 302 Oakhill Rd, Jasper, AL 35504-7465 |
| Taibele Karen Wesley | Optometry | Wesley Optometry PC | 302 Oakhill Rd, Jasper, AL 35504-7465 |
| Jennifer Edens Williams | Optometry | Wesley Optometry PC | 302 Oakhill Rd, Jasper, AL 35504-7465 |
| Jacob Gates | Physical Therapy | 200 N Airport Rd, Suite 110, Jasper, AL 35504-7521 | |
| C R Philpot-bowen | Chiropractic | 405 Airport Rd N, Jasper, AL 35504-7533 | |
| Talia J Gates | Obstetrics/gynecology | Walker Women's Specialists PC | 304 Blackwell Dairy Rd, Jasper, AL 35504-8406 |
| Bridget S Brunner | Obstetrics/gynecology | Walker Women's Specialists PC | 304 Blackwell Dairy Rd, Jasper, AL 35504-8406 |
| Lorissia Autery | Obstetrics/gynecology | Walker Women's Specialists PC | 304 Blackwell Dairy Rd, Jasper, AL 35504-8406 |
| Find all physicians in zip 35504 | |||
| City | JASPER |
| Zip Code | 35504 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | JASPER + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Derrick Bowling.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.