Gwendolyn E Bowers, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

52053 Issued in SC

Practice address

1301 Taylor St Ste 8a
Columbia, SC 29201-2955

Phone

(803) 929-2955

NPI assigned

Nov 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gwendolyn.bowers.1@23284.direct.athenahealth.com

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.

• Centerwell Senior Primary Care (SC) PC

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1376907790

  Internal Medicine, SC

  Medicare reassignment NPD
• Centerwell Senior Primary Care SC JV PC

  • Internal Medicine Physician
  • West Columbia, SC
  • NPI 1962101501

  Internal Medicine, SC

  Medicare reassignment NPD
• Centerwell Senior Primary Care (SC) PC

  • Internal Medicine Physician
  • Seneca, SC
  • NPI 1992262224

  Internal Medicine

  NPD
• Centerwell Senior Primary Care SC JV PC

  • Internal Medicine Physician
  • North Augusta, SC
  • NPI 1508671132

  Internal Medicine

  NPD
• Acsh Urgent Care of Florida, LLC

  • Urgent Care Clinic/Center
  • Panama City, FL
  • NPI 1386064319
  NPD (past)
• Bay Walk in Clinic, Inc

  • Family Medicine Physician
  • Panama City, FL
  • NPI 1477656619

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1306026554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 WACCAMAW MEDICAL PARK DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268903",
            "telephone_number": "803-296-7320",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 TAYLOR ST STE 8A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012955",
            "telephone_number": "803-929-2955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Atrium Ridge Ct",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29223",
            "country_code": "US",
            "telephone_number": "803-699-9992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "GWENDOLYN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "390200000X",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "52053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "520537",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joycely M Bowens, R.PH
• Juanita Bowens, PHD - RD
• Stephenie Bowens
• Benjamin King Bower, MPT
• Alison Elizabeth Bowers, LISW-CP
• Jaiden Bowers
• Kathryn L Bowers
• Patricia Bowers, PTA
• Samantha Young Bowers, DPT
• Stewart Wilson Bowers, ATC

• All providers in Columbia, SC
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.