Charleston Internal Medicine Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHARLESTON INTERNAL MEDICINE INC

Practice address

3701 Maccorkle Ave SE
Charleston, WV 25304-1525

Phone

(304) 720-2345

Fax

(304) 720-2347

NPI assigned

Oct 9, 2006

Last updated

Oct 4, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roy Thomas Bowden III, DONPI 1174594642

Title

President and Owner

Phone

(304) 720-2345

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roy Thomas Bowden III, DO

  • Internal Medicine Physician
  • Charleston, WV
  • NPI 1174594642
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1033206263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041525",
            "telephone_number": "304-720-2345",
            "fax_number": "304-720-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041525",
            "telephone_number": "304-720-2345",
            "fax_number": "304-720-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON INTERNAL MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "304-720-2345",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charleston Heart Specialists, PLLC
• Charleston Hospital Inc. (Saint Francis Hospital)
• Charleston Hospital, Inc. (Saint Francis Hospital)
• Charleston Hospital, Inc. (Hospitalists of Saint Francis)
• Charleston Infusion Services, LLC (Vital Care of Charleston, WV)
• Charleston Internal Medicine, Inc
• Charleston Medical Associates, PLLC
• Charleston Medical Center Pharmacy
• Charleston Medical Center, Inc.
• Charleston Medical Supplies

• Internal Medicine Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.