Provider Demographics
NPI:1508947565
Name:FLOWERS, JAMES J (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:FLOWERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1991 SPROUL RD STE 600
Mailing Address - Street 2:
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-3517
Mailing Address - Country:US
Mailing Address - Phone:484-565-1293
Mailing Address - Fax:610-886-0164
Practice Address - Street 1:1991 SPROUL RD STE 600
Practice Address - Street 2:
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008-3517
Practice Address - Country:US
Practice Address - Phone:484-565-1293
Practice Address - Fax:610-886-0164
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005022L207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000890103Medicaid
DE0000890103Medicaid