Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Alexis Nicole Bowder, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063876589

MS. Alexis Nicole Bowder, MD is a General Surgery in Johnson City, Tennessee. Qualified in 2016, 10 years ago. Practices with Medical Education Assistance Corporation, a 176-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
10
Licensed in
TN
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

325 N State Of Franklin Rd Fl 3
Johnson City, TN 37604-6171
Phone: (423) 439-7201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 73261 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063876589
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2016
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Medical Education Assistance Corporation — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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