Individual provider Active NPI

Marcia R Bowden, MD

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1083641252
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29971 Issued in TN
Practice address
1652 Madison Ave
Memphis, TN 38104-2508
Phone
(901) 278-9538
Fax
(901) 726-9883
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical Genetics 170100000X 29971 TN
Internal Medicine Physician 207R00000X 29971 TN Primary

Addresses

Primary practice location

1652 Madison Ave
Memphis, TN 38104-2508

Mailing address

1652 Madison Ave
Memphis, TN 38104-2508
Phone (901) 278-9538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090508000454 TN Practitioner - Internal Medicine 1052469624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arkansas College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1652 Madison Ave
Memphis, TN 38104-2508
Phone (901) 278-9538

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29971TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bowden Internal Medicine,PLLC Medical Genetics, PH.D. Medical Genetics CurrentSince Apr 29, 2009 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Bowden Internal Medicine Medical Genetics, PH.D. Medical Genetics Past Accepting new patients

Locations

1652 Madison Ave
Memphis, TN 38104
Phone (901) 278-9538

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1083641252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042508",
            "telephone_number": "901-278-9538",
            "fax_number": "901-726-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042508",
            "telephone_number": "901-278-9538",
            "fax_number": "901-726-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "MARCIA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "TN",
            "license": "29971",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "29971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.