Active NPI
Gregory Richard Bowers, M.D.
- Interventional Pain Medicine Physician
- Columbia, TN
National Provider Identifier
1194856773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- MD32228
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4027274 | Other | TN | BLUE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091125000622 | FL | Practitioner - Interventional Pain Management | 5193779130 | Practice locations: Eastpoint, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD32228 | TN | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Diagnostic Radiology Physician
- Columbia, TN
- NPI 1467460725
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.