Healthcare Provider Details

I. General information

NPI: 1003357427
Provider Name (Legal Business Name): ALEXANDER L BOWERS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ALEX BOWERS D.O.

II. Dates (important events)

Enumeration Date: 03/18/2017
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9040A JACKSON AVE JOINT BASE LEWIS-MCCHORD
TACOMA WA
98431-1000
US

IV. Provider business mailing address

9040 A JACKSON AVE
TACOMA WA
98431-0001
US

V. Phone/Fax

Practice location:
  • Phone: 253-968-3066
  • Fax:
Mailing address:
  • Phone: 253-968-3066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number1866
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number2021-02212
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: