Alexis Bowder, MD
NPI 1063876589 · Pediatric Surgery Physician · Johnson City, TN
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alexis Bowder, MD is a Pediatric Surgery Physician provider in Johnson City, TN (NPI 1063876589).
Provider details
- NPI number
- 1063876589
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 9200 W Wisconsin AveMilwaukee, WI 53226-3522Phone: (414) 805-8632
Registry dates
- Enumerated
- 2016-04-11
- Last updated
- 2025-08-04
- Certified
- 2025-08-04
Frequently asked questions
- What is Alexis Bowder's NPI number?
- Alexis Bowder's National Provider Identifier (NPI) is 1063876589, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Alexis Bowder's specialty?
- Alexis Bowder is listed in the NPPES registry with a primary specialty of Pediatric Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Alexis Bowder located?
- Alexis Bowder's practice location on file with NPPES is 325 N State of Franklin Rd Fl 3, Johnson City, TN 37604-6171.
- What is Alexis Bowder's phone number?
- The practice phone number listed in the NPPES registry for Alexis Bowder is (423) 439-7201.
- Does Alexis Bowder accept Medicare?
- Alexis Bowder is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Alexis Bowder's NPI active?
- Yes — Alexis Bowder's NPI (1063876589) is active in the NPPES registry as of the last update on 2025-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.