Phillip Jeffrey Bower, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

22458 Issued in SC

Practice address

302 Medical Park Dr
Suite 207
Walterboro, SC 29488-5747

Phone

(843) 782-2788

Fax

(843) 782-2797

NPI assigned

Aug 25, 2005

Sex

Male

Sole proprietor

Yes

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.

• Coastal Plains Physician Associates

  • Diagnostic Radiology Physician
  • Varnville, SC
  • NPI 1316992506
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: phillip.bower@hca5.eclinicaldirectplus.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2013.

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1366435356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MEDICAL PARK DR",
            "address_2": "SUITE 207",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885747",
            "telephone_number": "843-782-2788",
            "fax_number": "843-782-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MEDICAL PARK DR",
            "address_2": "SUITE 207",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885747",
            "telephone_number": "843-782-2788",
            "fax_number": "843-782-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWER",
        "first_name": "PHILLIP",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "22458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0624",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald R Black, MD
• Diera Blackwell, LPN
• Kayla Blocker, SLP
• Michael L Blubaugh, MD
• Bon Secours St Francis Xavier Hospital, Inc.
• Boxwood Emergency Physicians, LLC
• Linda J. Brabham, COTA/L
• Megan Brett, MS, RD, LD
• Linda Bright, LPN
• Tychia Brown, BS

• All providers in Walterboro, SC
• Cardiovascular Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.