Robert W Bowen, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

14333 Issued in GA

Practice address

1015 Arthur J Moore Dr
Saint Simons Island, GA 31522-2206

Phone

(912) 634-1993

Fax

(912) 634-1166

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386736064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 ARTHUR J MOORE DR",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222206",
            "telephone_number": "912-634-1993",
            "fax_number": "912-634-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 ARTHUR J MOORE DR",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222206",
            "telephone_number": "912-634-1993",
            "fax_number": "912-634-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "14333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00182388A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Billy Jacob Blackmon, MD
• Edward Bolt
• Michele Diane Borst, PT
• Diane Gwyn Bowen, M.D.
• Nancy Hodges Bowen, FNP-C
• Kevin D Boyer, D.M.D.
• Jacqueline Diane Braga
• Sophia Braswell
• Brenda B Hollis, LPC, PC
• Laura Ann Brennan

• All providers in Saint Simons Island, GA
• Obstetrics & Gynecology Physician in Georgia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.