Organization Active NPI

Richard Bowman MD PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Plano, TX
National Provider Identifier
1205019874
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
H5844 Issued in TX
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

Updated by the provider on May 26, 2020

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)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
118094504MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.