NPIMap

Individual provider Active NPI

Stephen Hogan Bowie, M.D.

  • Diagnostic Radiology Physician
  • Memphis, TN
National Provider Identifier
1235585480
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD.42408 Issued in AL
Practice address
920 Madison Ave
Suite 447
Memphis, TN 38103-3438
Phone
(901) 448-5814
NPI assigned
May 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD.42408 AL Primary

Addresses

Primary practice location

920 Madison Ave
Suite 447
Memphis, TN 38103-3438

Mailing address

920 Madison Ave
Suite 447
Memphis, TN 38103-3438
Phone (901) 448-5814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR, MS3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220516000607 TN Practitioner - Diagnostic Radiology 5092007948 Reassigns benefits to 2 organizations
I20220516001643 AR Practitioner - Diagnostic Radiology 5092007948 Reassigns benefits to 2 organizations
I20220517001076 MS Practitioner - Diagnostic Radiology 5092007948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Imaging and Therapeutics, P.a.Group PAC ID 9133106396, 69 clinicians
West Tennessee Imaging LLCGroup PAC ID 3173834215, 37 clinicians

Practice addresses (Care Compare)

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-0140

7600 Wolf River Blvd
Germantown, TN 38138-1785
Phone (901) 312-4033

7600 Wolf River Blvd
Suite 200
Germantown, TN 38138-1788
Phone (901) 747-1000

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (901) 383-9478

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.65 of 100Reported as group
Quality
44.87
Promoting interoperability
100
Improvement activities
40
Cost
73.98

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
MD.42408ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Jul 1, 2022 Accepting new patients
West Tennessee Imaging, LLC Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Jul 1, 2022 Accepting new patients

Locations

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

7600 Wolf River Blvd
Memphis, TN 38138
Phone (615) 550-6049

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

7600 Wolf River Blvd
Ste 100
Memphis, TN 38138
Phone (901) 312-4033

7600 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 747-1000

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1235585480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MADISON AVE",
            "address_2": "SUITE 447",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033438",
            "telephone_number": "901-448-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MADISON AVE",
            "address_2": "SUITE 447",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033438",
            "telephone_number": "901-448-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWIE",
        "first_name": "STEPHEN",
        "middle_name": "HOGAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-06",
        "last_updated": "2021-09-13",
        "certification_date": "2021-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "MD.42408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.