Active NPI
Jerry Lee Bowman, M.D.
- Emergency Medicine Physician
- Albemarle, NC
National Provider Identifier
1215145339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Practice address
- 301 Yadkin St
Albemarle, NC 28001-3441 - Phone
- (704) 984-4349
- NPI assigned
- May 21, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NC | Primary |
Addresses
Primary practice location
301 Yadkin St
Albemarle, NC 28001-3441
Mailing address
317 S Clarkson St
Charlotte, NC 28202-1068
Phone (973) 327-4385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007-00795 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emcare Physician Providers, Inc. | Emergency Medicine | Past | Accepting new patients |
| Lumberton Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| North Carolina Em-I Medical Services PC | Past | Accepting new patients | |
| Piedmont Emergency Medical Associates, PA | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Mecklenburg County, PLLC | Emergency Medicine | Past | Accepting new patients |
| Fox Mountain Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Lumberton Emergency Medical Associates PC | Emergency Medicine | Past | Accepting new patients |
| Vance Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 8
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.
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- Hamlet, NC
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-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1912232182
Emergency Medicine
-
- Emergency Medicine Physician
- Mooresville, NC
- NPI 1477867752
Emergency Medicine
-
- Emergency Medicine Physician
- Lumberton, NC
- NPI 1326337163
Emergency Medicine
-
- Emergency Medicine Physician
- Lumberton, NC
- NPI 1902049232
Emergency Medicine
-
- Physician Assistant
- Mooresville, NC
- NPI 1336454156
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1801822523
Emergency Medicine
-
- Emergency Medicine Physician
- Hamlet, NC
- NPI 1669421269
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215145339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 S CLARKSON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282021068",
"telephone_number": "973-327-4385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 YADKIN ST",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013441",
"telephone_number": "704-984-4349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "JERRY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albemarle, NC
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.