Individual provider Active NPI

Prentice Bowman, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1295962900
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15771 Issued in NV
Practice address
2716 N Tenaya Way
4TH Floor
Las Vegas, NV 89128-0424
Phone
(702) 877-8600
Fax
(702) 242-7944
NPI assigned
Jun 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01070489A IN
Internal Medicine Physician 207R00000X 15771 NV Primary
Hospitalist Physician 208M00000X 15771 NV

Addresses

Primary practice location

2716 N Tenaya Way
4TH Floor
Las Vegas, NV 89128-0424

Mailing address

PO Box 15645
Las Vegas, NV 89114-5645
Phone (702) 877-8600

Other identifiers 1

IdentifierTypeStateIssuer
1295962900MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151214002430 NV Practitioner - Internal Medicine 4284871153 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platinum Hospitalists LLPGroup PAC ID 7214076322, 197 clinicians

Practice addresses (Care Compare)

7495 W Azure Dr
Suite 209
Las Vegas, NV 89130-4440
Phone (702) 407-7700

Hospital & facility affiliations

  • Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046

Merit-based Incentive Payment System (MIPS)

Final score
75.76 of 100Reported as individual
Quality
78.69
Improvement activities
0
Cost
74.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15771NVMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, Inc Internal Medicine CurrentSince Dec 1, 2015 Accepting new patients
Platinum Hospitalists LLP Internal Medicine CurrentSince Sep 29, 2017 Accepting new patients
Las Vegas Medical Group LLC Internal Medicine CurrentSince Feb 6, 2026 Accepting new patients
Platinum Hospitalists LLP Internal Medicine CurrentSince Sep 29, 2017 Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

10624 S Eastern Ave
Ste A995
Henderson, NV 89052

10624 S Eastern Ave
#A955
Henderson, NV 89052
Phone (702) 407-7700

10624 S Eastern Ave
Ste A955
Henderson, NV 89052
Phone (702) 407-7700

2720 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 242-7300

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653

2704 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 243-8500

8280 W Warm Springs Rd
Las Vegas, NV 89113
Phone (702) 458-5099

5320 S Rainbow Blvd
Ste 302
Las Vegas, NV 89118
Phone (702) 382-8222

2716 N Tenaya Way
Fl 4
Las Vegas, NV 89128

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1245456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1295962900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15645",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891145645",
            "telephone_number": "702-877-8600",
            "fax_number": "702-242-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 N TENAYA WAY",
            "address_2": "4TH FLOOR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280424",
            "telephone_number": "702-877-8600",
            "fax_number": "702-242-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "PRENTICE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-20",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01070489A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "15771",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "15771",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295962900",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.