Individual provider Active NPI

Paul H Bowman, M.D.

  • MOHS-Micrographic Surgery Physician
  • Tampa, FL
National Provider Identifier
1184670903
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME90592 Issued in FL
Practice address
5379 Primrose Lake Cir
Tampa, FL 33647-3521
Phone
(813) 977-2040
Fax
(813) 977-3886
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X ME90592 FL Primary

Addresses

Primary practice location

5379 Primrose Lake Cir
Tampa, FL 33647-3521

Mailing address

5379 Primrose Lake Cir
Tampa, FL 33647-3521
Phone (813) 977-2040

Other identifiers 1

IdentifierTypeStateIssuer
46698OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041103000237 FL Practitioner - Dermatology 7012979123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of North Carolina at Chapel Hill School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul Herschel Bowman MDGroup PAC ID 3577525682, 2 clinicians

Practice addresses (Care Compare)

5379 Primrose Lake Cir
Tampa, FL 33647-3521
Phone (813) 977-2040

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision231
Removal of tissue12
Removal of skin lesions1-10
Removal of skin cancer721
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME90592FLMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seascape Surgery Center LLC CurrentSince Dec 30, 2008 Accepting new patients
Paul Herschel Bowman MD Mohs-Micrographic Surgery CurrentSince Jul 9, 2004 Accepting new patients

Locations

5379 Primrose Lake Cir
Tampa, FL 33647
Phone (813) 977-2010

Interoperability endpoints

  • Direct secure messaging: paul.bowman@tbi.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GHCAAA/Endpoint/GHCAAA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1184670903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5379 PRIMROSE LAKE CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473521",
            "telephone_number": "813-977-2040",
            "fax_number": "813-977-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5379 PRIMROSE LAKE CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473521",
            "telephone_number": "813-977-2040",
            "fax_number": "813-977-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "PAUL",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME90592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "46698",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.