Jonathan Lawson Bowling, MD
Individual provider Active NPI Internal Medicine Physician · Charleston, SC
NPI 1306735006 · NPPES record last updated Jun 30, 2025
Key facts
- NPI
- 1306735006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- LL94969 (SC)
- Practice address
- 171 Ashley Ave
Charleston, SC 29425-8908 - Phone
- (843) 792-1414
- NPI assigned
- Jun 30, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL94969 | SC | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | LL94969 | SC | |
| Internal Medicine Physician | 207R00000X | LL94969 | SC | Yes |
Addresses
Primary practice location
171 Ashley Ave
Charleston, SC 29425-8908
Mailing address
169 Ashley Avenue
Room 202 Main Hospital Msc333
Charleston, SC 29425
Other providers in Charleston, SC
- Deborah Anne Bowlby
- Kendall Bowler
- Anne Tipton Bowles
- Ingrid Ventura Bowling
- Jonathan Bowling
- Abbie Bowman
- Charles M Bowman
- John Imrie Bowman IV
- James Bowsher
- Lisa Mae Boyars
All providers in Charleston, SC · Internal Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.