Active NPI
Richard Bowman MD PA
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Plano, TX
National Provider Identifier
1205019874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- H5844
- Legal business name
- RICHARD BOWMAN MD PA
- Practice address
- 4001 W 15TH St Ste 335
Plano, TX 75093-5859 - Phone
- (972) 867-5300
- Fax
- (972) 867-5300
- NPI assigned
- Dec 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard Thomson Bowman, MD
- Title
- President
- Phone
- (972) 867-5300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | H5844 | TX | Primary |
Addresses
Primary practice location
4001 W 15TH St Ste 335
Plano, TX 75093-5859
Mailing address
PO Box 262205
Plano, TX 75026-2205
Phone (972) 867-5300
Other practice location 1
4001 W 15th St
Suite 180
Plano, TX 75093-5841
Phone (972) 867-5300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118094504 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
4101 W 15th St
Ste 335
Plano, TX 75093
Phone (972) 867-5300
1600 Coit Rd
#304A
Plano, TX 75075
Phone (972) 867-5300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590451200000",
"number": "1205019874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 262205",
"city": "PLANO",
"state": "TX",
"postal_code": "750262205",
"telephone_number": "972-867-5300",
"fax_number": "972-867-5301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 W 15TH ST STE 335",
"city": "PLANO",
"state": "TX",
"postal_code": "750935859",
"telephone_number": "972-867-5300",
"fax_number": "972-867-5300"
}
],
"practiceLocations": [
{
"address_1": "4001 W 15th St",
"address_2": "Suite 180",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750935841",
"country_code": "US",
"telephone_number": "972-867-5300",
"fax_number": "972-867-5301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RICHARD BOWMAN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-06",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A",
"authorized_official_last_name": "BOWMAN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "THOMSON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-867-5300",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "H5844",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118094504",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.