Active NPI
Prentice Bowman, M.D.
- Internal Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 15771
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295962900 | Medicaid | NV |
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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.76 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 15771 | NV | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, Inc | Internal Medicine | Current | Accepting new patients |
| Platinum Hospitalists LLP | Internal Medicine | Current | Accepting new patients |
| Las Vegas Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Platinum Hospitalists LLP | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1447656988
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1659346005
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1437948726
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1346230323
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1346230323
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1982289690
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.