Individual provider · Type 1 NPI

Alexis Nicole Bowder, MD

Pediatric Surgery Physician · Johnson City, TN

NPI number 1063876589 Active

Practice location

325 N State Of Franklin Rd Fl 3
Johnson City, TN 37604-6171

Call (423) 439-7201 Map

Mailing address

PO Box 699
Mountain Home, TN 37684-0699

Other practice locations

  • 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 · (414) 805-8632

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Surgery Physician Primary 2086S0120X73261 (TN)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

50 other providers at this address

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About NPI 1063876589

Alexis Nicole Bowder, MD's National Provider Identifier is 1063876589, issued on Apr 11, 2016. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Johnson City, TN. The record was last updated on Aug 4, 2025.