| John W Bowman Md Llc | |
|
4810 Whitesport Cir Sw Suite 105 Huntsville AL 35801-7419 | |
| (256) 429-5390 | |
| (256) 429-5933 |
| Full Name | John W Bowman Md Llc |
|---|---|
| Speciality | General Practice |
| Location | 4810 Whitesport Cir Sw, Huntsville, Alabama |
| Authorized Official Name and Position | John W Bowman (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2565056826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John W Bowman Md Llc 8678 Edgehill Dr Se Huntsville AL 35802-3786 Ph: (256) 505-6826 | John W Bowman Md Llc 4810 Whitesport Cir Sw Suite 105 Huntsville AL 35801-7419 Ph: (256) 429-5390 |
| NPI Number | 1114358710 |
|---|---|
| Provider Enumeration Date | 12/06/2013 |
| Last Update Date | 12/06/2013 |
| Medicare PECOS PAC ID | 0042440349 |
|---|---|
| Medicare Enrollment ID | O20140306001497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114358710 | NPI | - | NPPES |
| 1093808826 | Other | AL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 10852 (Alabama) | Primary |
| Provider Name | John W Bowman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093808826 PECOS PAC ID: 3779550702 Enrollment ID: I20110214000809 |
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