Active NPI
Ronnie Durrell Bowen, M.D
- Family Medicine Physician
- Memphis, TN
National Provider Identifier
1316966724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 38708
- Practice address
- 3699 Riverdale Rd
Memphis, TN 38115-5322 - Phone
- (190) 136-5962
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 38708 | TN | |
| Family Medicine Physician | 207Q00000X | 38708 | TN | Primary |
Addresses
Primary practice location
3699 Riverdale Rd
Memphis, TN 38115-5322
Mailing address
7296 Rourke Cir
Memphis, TN 38125-4823
Phone (901) 756-1248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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
- Family Practice
- Education
- Meharry Medical College School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3699 Riverdale Rd
Memphis, TN 38115-5322
Phone (901) 365-9625
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Families First Health Care | Current | Accepting new patients | |
| Tennessee Em-I Medical Services, PC | Past | Accepting new patients | |
| My Doctors Medical Group, PLLC | Past | Accepting new patients |
Locations
3699 Riverdale Rd
Memphis, TN 38115
Phone (901) 365-9625
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GECGDD
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Memphis, TN
- NPI 1295859312
-
- Internal Medicine Physician
- Bartlett, TN
- NPI 1083351027
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1497703714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1316966724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7296 ROURKE CIR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381254823",
"telephone_number": "901-756-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3699 RIVERDALE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381155322",
"telephone_number": "190-136-5962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "RONNIE",
"middle_name": "DURRELL",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "TN",
"license": "38708",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "38708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.