NPIMap

Individual provider Active NPI

Mary Allison Bowles, M.D.

  • Neurology Physician
  • Norfolk, VA
National Provider Identifier
1225037484
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101231191 Issued in VA
Practice address
6161 Kempsville Cir
Suite 315
Norfolk, VA 23502-3932
Phone
(757) 461-5400
Fax
(757) 461-3305
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101231191 VA Primary

Addresses

Primary practice location

6161 Kempsville Cir
Suite 315
Norfolk, VA 23502-3932

Mailing address

6161 Kempsville Cir
Suite 315
Norfolk, VA 23502-3932
Phone (757) 461-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100626000162 VA Practitioner - Neurology 5294882288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Nebraska College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

1401 N High St
Franklin, VA 23851-1244
Phone (757) 516-8130

6161 Kempsville Cir
Norfolk, VA 23502-3932
Phone (757) 461-5400

6161 Kempsville Cir
Suite 315
Norfolk, VA 23502-3935

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101231191VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Consulants of Tidewater PLLC CurrentSince Jul 30, 2001 Accepting new patients
Neurology Consultants of Tidewater, PLLC Neurology CurrentSince Jul 30, 2001 Accepting new patients

Locations

6161 Kempsville Cir
Ste 315
Norfolk, VA 23502
Phone (757) 461-5400

Interoperability endpoints

  • Direct secure messaging: mbowles@neurologyspecialists.directbygreenway.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1225037484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 KEMPSVILLE CIR",
            "address_2": "SUITE 315",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023932",
            "telephone_number": "757-461-5400",
            "fax_number": "757-461-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 KEMPSVILLE CIR",
            "address_2": "SUITE 315",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023932",
            "telephone_number": "757-461-5400",
            "fax_number": "757-461-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "MARY",
        "middle_name": "ALLISON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101231191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.