Active NPI
David Lewis Bowlin, M.D.
- Nephrology Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 34756
- Practice address
- 6363 France Ave S
Suite 400
Edina, MN 55435-2129 - Phone
- (952) 920-2070
- Fax
- (952) 920-7444
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 34756 | MN | Primary |
Addresses
Primary practice location
6363 France Ave S
Suite 400
Edina, MN 55435-2129
Mailing address
6363 France Ave S
Suite 400
Edina, MN 55435-2129
Phone (952) 920-2070
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3111320 | Other | MN | PHP PROVIDER NUMBER |
| 361400 | Other | MN | FHP PROVIDER NUMBER |
| 32013200 | Other | WI | WISCONSIN MA |
| 3180156 | Other | MN | MEDICA PRIMARY |
| 34Q24BO | Other | MN | BCBS |
| HP17805 | Other | MN | HEALTHPARTNERS |
| 1008698 | Other | MN | PREFERRED ONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080326000189 | MN | Practitioner - Nephrology | 9537184882 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Washington University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 273-3000
6600 France Ave S
Suite 162
Edina, MN 55435-1802
Phone (952) 920-2070
Hospital & facility affiliations
- DaVita Wyoming Dialysis
- DaVita Arden Hills Dialysis Unit
- M Health Fairview Southdale Hospital
- M Health Fairview Ridges Hospital
- M Health Fairview University of MN Medical Center
- Fairview Lakes Health Services
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermed Consultants,LTD. | Nephrology | Current | Accepting new patients |
| Fairview Express Care | Current | Accepting new patients | |
| Intermed Consultants Dialysis, PLLC | Nephrology | Current | Accepting new patients |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients |
Locations
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
1068 Lake St S
Ste 108
Forest Lake, MN 55025
Phone (651) 464-8486
6363 France Ave S
Ste 400
Minneapolis, MN 55435
Phone (651) 312-1700
6600 France Ave S
Ste 162
Minneapolis, MN 55435
Phone (612) 920-2070
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
5354 Edgewood Dr
Saint Paul, MN 55112
5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611
Interoperability endpoints
- david.bowlin@direct.davitaphysiciansolutions.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Princeton, MN
- NPI 1821242017
-
- General Practice Physician
- Saint Paul, MN
- NPI 1346722675
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Wyoming, MN
- NPI 1417911918
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1003922667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6363 FRANCE AVE S",
"address_2": "SUITE 400",
"city": "EDINA",
"state": "MN",
"postal_code": "554352129",
"telephone_number": "952-920-2070",
"fax_number": "952-920-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6363 FRANCE AVE S",
"address_2": "SUITE 400",
"city": "EDINA",
"state": "MN",
"postal_code": "554352129",
"telephone_number": "952-920-2070",
"fax_number": "952-920-7444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLIN",
"first_name": "DAVID",
"middle_name": "LEWIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MN",
"license": "34756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP PROVIDER NUMBER",
"identifier": "3111320",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FHP PROVIDER NUMBER",
"identifier": "361400",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN MA",
"identifier": "32013200",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PRIMARY",
"identifier": "3180156",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "34Q24BO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP17805",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1008698",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.