Active NPI
Ronald Elroy Bowers Jr., PA-C
- Surgical Physician Assistant
- Fort Belvoir, VA
National Provider Identifier
1104894187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 0110-840497
- Practice address
- 9501 Farrell Rd
Suite 100
Fort Belvoir, VA 22060-5901 - Phone
- (703) 805-0096
- Fax
- (703) 805-0820
- NPI assigned
- Mar 8, 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 0110-840497 | VA | Primary |
Addresses
Primary practice location
9501 Farrell Rd
Suite 100
Fort Belvoir, VA 22060-5901
Mailing address
12042 Odion LN
Woodbridge, VA 22192-5341
Phone (703) 583-7730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110-840497 | VA | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104894187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12042 ODION LN",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221925341",
"telephone_number": "703-583-7730",
"fax_number": "703-805-0820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9501 FARRELL RD",
"address_2": "SUITE 100",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "220605901",
"telephone_number": "703-805-0096",
"fax_number": "703-805-0820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "RONALD",
"middle_name": "ELROY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "VA",
"license": "0110-840497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Belvoir, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.