Active NPI
Robert T Bowman, LICSW
- Clinical Social Worker
- Wheeling, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- DP00938589
- Practice address
- 2101 Jacob St Ste 501
Wheeling, WV 26003-3800 - Phone
- (304) 234-8517
- Fax
- (304) 234-8745
- NPI assigned
- Feb 7, 2007
- Last updated
- Apr 6, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I0008930 | OH | |
| Clinical Social Worker | 1041C0700X | DP00938589 | WV | Primary |
Addresses
Primary practice location
2101 Jacob St Ste 501
Wheeling, WV 26003-3800
Mailing address
2000 Eoff St
Wheeling, WV 26003-3823
Phone (304) 234-8663
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275588000 | Other | OH | MAGELLAN BEHAVIORAL HEALT |
| 000000217379 | Other | KY | ANTHEM BCBS |
| 000701395 | Other | WV | MOUNTAIN STATE BCBS |
| 357056 | Other | NY | VALUE OPTIONS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rbowman153681@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Maryland School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
407 Wheeling Ave
Glen Dale, WV 26038-1536
Phone (304) 845-1500
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0008930 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reynolds Memorial Hospital Inc | Current | Accepting new patients | |
| Reynolds Memorial Hospital, Inc | Current | Accepting new patients | |
| Southeast, Inc | Past | Accepting new patients | |
| Southeast, Inc | Past | Accepting new patients |
Locations
1000 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-3012
407 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-3012
800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520
2000 Eoff St
Wheeling, WV 26003
Phone (304) 234-0123
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Glen Dale, WV
- NPI 1518068014
-
dba MBA Physician Billing
- Surgery Physician
- Wheeling, WV
- NPI 1457657991
-
- Federally Qualified Health Center (FQHC)
- Mount Gilead, OH
- NPI 1114893203
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
- NPI 1932169497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1093855223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 EOFF ST",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033823",
"telephone_number": "304-234-8663",
"fax_number": "304-234-8960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 JACOB ST STE 501",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033800",
"telephone_number": "304-234-8517",
"fax_number": "304-234-8745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "ROBERT",
"middle_name": "T",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I0008930",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "DP00938589",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "275588000",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000217379",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE BCBS",
"identifier": "000701395",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "357056",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rbowman153681@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1000 Wheeling Ave",
"city": "Glen Dale",
"state": "WV",
"country_code": "US",
"postal_code": "260381750",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.