IndividualActive
Brad Bowyer, MD
NPI 1205821089 · Gastroenterology Physician · Lagrange, GA
Provider details
- NPI number
- 1205821089
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 36091180 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1551 Doctors Dr
Lagrange, GA 30240-4139
Phone: (706) 880-7311
Fax: (706) 880-7360
Approximate (ZIP-level) locationGet directions
Mailing address
1551 Doctors Dr
Lagrange, GA 30240-4139
Additional practice locations (1)
- 401 Roxbury RdRockford, IL 61107-5075Phone: (815) 397-7340Fax: (815) 397-7388
Registry dates
- Enumerated
- 2005-09-16
- Last updated
- 2022-11-14
- Certified
- 2022-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.