Active NPI
Jacob Stuart Bowers, MD PHD
- Diagnostic Radiology Physician
- Roanoke, VA
National Provider Identifier
1326601600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101289032
- Practice address
- 1906 Belleview Ave SE
Roanoke, VA 24014-1838 - Phone
- (540) 981-7083
- Fax
- (540) 981-8260
- NPI assigned
- Apr 22, 2019
- Sex
- Male
- Sole proprietor
- Yes
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Medical University of South Carolina College of Medicine, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
213 S Jefferson St
Suite 1006
Roanoke, VA 24011-1713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260611000383 | VA | Practitioner - Diagnostic Radiology | 7618210188 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101289032 | VA | MD | Diagnostic Radiology Physician |
| 13285 | GA | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 13285 | GA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 13285 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | 0101289032 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5516
Other practice location 1
1120 15th St
Augusta, GA 30912-4220
Phone (706) 721-2076
Other names 1
NPPES NPI Registry- Jake Bowers
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 21, 2026.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1326601600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S JEFFERSON ST STE 1006",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111713",
"telephone_number": "540-224-5516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 BELLEVIEW AVE SE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240141838",
"telephone_number": "540-981-7083",
"fax_number": "540-981-8260"
}
],
"practiceLocations": [
{
"address_1": "1120 15th St",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309124220",
"country_code": "US",
"telephone_number": "706-721-2076",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWERS",
"first_name": "JACOB",
"middle_name": "STUART",
"credential": "MD PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-22",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "GA",
"license": "13285",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "GA",
"license": "13285",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101289032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAKE",
"last_name": "BOWERS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.