Individual provider Active NPI

Gregory Richard Bowers, M.D.

  • Interventional Pain Medicine Physician
  • Columbia, TN
National Provider Identifier
1194856773
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD32228 Issued in TN
Practice address
1510 Hatcher LN
Suite 1
Columbia, TN 38401-4813
Phone
(931) 840-4333
Fax
(931) 840-0096
NPI assigned
Mar 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X MD32228 TN Primary

Addresses

Primary practice location

1510 Hatcher LN
Suite 1
Columbia, TN 38401-4813

Mailing address

1510 Hatcher LN
Suite 1
Columbia, TN 38401-4813
Phone (931) 840-4333

Other identifiers 1

IdentifierTypeStateIssuer
4027274OtherTNBLUE CROSS ID

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
I20091125000622 FL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 5193779130 Practice locations: Eastpoint, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD32228TNMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Radiology Associates, PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194856773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 HATCHER LN",
            "address_2": "SUITE 1",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014813",
            "telephone_number": "931-840-4333",
            "fax_number": "931-840-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 HATCHER LN",
            "address_2": "SUITE 1",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014813",
            "telephone_number": "931-840-4333",
            "fax_number": "931-840-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "GREGORY",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TN",
            "license": "MD32228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "4027274",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.