DERRICK BOWLING MD PA
NPI 1770118655
Clinic/Center - Primary Care in Oakland Park, FL

Q: What is Derrick Bowling MD PA's NPI number?

The NPI number for Derrick Bowling MD PA is 1770118655. It was assigned to this organization in the NPPES registry on March 11, 2020.

Q: What is Derrick Bowling MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since March 11, 2020

3516 NE 12TH AVE, OAKLAND PARK, FL 33334(954) 459-5487 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Derrick Bowling Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK BOWLING MD PA (NPI 1770118655) is a healthcare organization registered as a primary care in Oakland Park, Florida and active in the NPI registry since March 2020. The organization lists Derrick Bowling, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1770118655

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameDERRICK BOWLING MD PA

Location Address3516 NE 12TH AVEOakland Park, FL 33334-4524

Mailing Address308 Ne 22nd StWilton Manors, FL 33305-1115 · (205) 388-8863

Phone(954) 459-5487

Organization SubpartNo

Authorized OfficialDerrick BowlingMd/owner · (205) 388-8863

Enumeration DateMarch 11, 2020

NPPES CertifiedMarch 11, 2020

✔ NPI 1770118655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedFamily MedicineTaxonomy 207Q00000X

3516 NE 12TH AVE, Oakland Park, FL 33334

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DERRICK BOWLING MD

Family Medicine

3516 NE 12TH AVE
OAKLAND PARK, FL 33334

Broward County (954) 459-5487

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Bowling MD PA's NPI number?

The NPI number for Derrick Bowling MD PA is 1770118655. It was assigned to this organization in the NPPES registry on March 11, 2020.

Where is Derrick Bowling MD PA located?

Derrick Bowling MD PA is located at 3516 NE 12th Ave, Oakland Park, FL 33334. The listed phone number is (954) 459-5487.

What is Derrick Bowling MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Derrick Bowling MD PA was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.