| Thomas E. Bowser Md Pllc | |
|
4105 Briargate Pkwy Ste 105 Colorado Springs CO 80920-3482 | |
| (719) 637-8444 | |
| (719) 638-8286 |
| Full Name | Thomas E. Bowser Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4105 Briargate Pkwy Ste 105, Colorado Springs, Colorado |
| Authorized Official Name and Position | Thomas E Bowser (PRESIDENT) |
| Authorized Official Contact | 7196378444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas E. Bowser Md Pllc 4105 Briargate Pkwy Ste 105 Colorado Springs CO 80920-3482 Ph: (719) 637-8444 | Thomas E. Bowser Md Pllc 4105 Briargate Pkwy Ste 105 Colorado Springs CO 80920-3482 Ph: (719) 637-8444 |
| NPI Number | 1518992155 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/18/2023 |
| Medicare PECOS PAC ID | 5193721025 |
|---|---|
| Medicare Enrollment ID | O20061016000547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518992155 | NPI | - | NPPES |
| 59127015 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Thomas E Bowser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467454371 PECOS PAC ID: 6800798554 Enrollment ID: I20040122001081 |
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