Active NPI
Carolyn Ann Bowles, MD
- Rheumatology Physician
- Edina, MN
National Provider Identifier
1356301790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- MN26113
- Practice address
- 6545 France Ave S
Suite 352
Edina, MN 55435-2131 - Phone
- (952) 929-4433
- Fax
- (952) 929-4440
- NPI assigned
- Mar 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | MN26113 | MN | Primary |
Addresses
Primary practice location
6545 France Ave S
Suite 352
Edina, MN 55435-2131
Mailing address
5117 James Ave S
Minneapolis, MN 55419-1134
Phone (612) 928-1771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299570100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 16, 2016 through Feb 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MN26113 | MN | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arthritis and Osteoporosis Center, PA | Rheumatology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rheumatology Physician
- Edina, MN
- NPI 1821134743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356301790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5117 JAMES AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554191134",
"telephone_number": "612-928-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6545 FRANCE AVE S",
"address_2": "SUITE 352",
"city": "EDINA",
"state": "MN",
"postal_code": "554352131",
"telephone_number": "952-929-4433",
"fax_number": "952-929-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLES",
"first_name": "CAROLYN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MN",
"license": "MN26113",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "299570100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.