Individual provider Active NPI

Scotty Dawson Bowie Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Richmond, VA
National Provider Identifier
1386754034
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024165491 Issued in VA
Practice address
1250 E Marshall St
Anesthesia Crna
Richmond, VA 23298-5051
Phone
(804) 628-6975
Fax
(804) 628-6997
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024165491 VA Primary

Addresses

Primary practice location

1250 E Marshall St
Anesthesia Crna
Richmond, VA 23298-5051

Mailing address

PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100203000534 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527101237 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024165491VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia PC CurrentSince Dec 18, 2023 Accepting new patients
Richmond Gastroenterology Associates, Inc. CurrentSince May 1, 2025 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Dec 18, 2023 Accepting new patients
Southern Crescent Nurse Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Southern Crescent Anesthesiology, PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

215 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 497-4973

165 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 272-9146

1600 Wilkes Ridge Dr
Ste 100
Richmond, VA 23233
Phone (703) 563-0042

2369 Staples Mill Rd
Ste 100
Richmond, VA 23230
Phone (804) 354-8818

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1386754034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91734",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232911734",
            "telephone_number": "804-358-6100",
            "fax_number": "804-342-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E MARSHALL ST",
            "address_2": "ANESTHESIA CRNA",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985051",
            "telephone_number": "804-628-6975",
            "fax_number": "804-628-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWIE",
        "first_name": "SCOTTY",
        "middle_name": "DAWSON",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024165491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.