Deborah Anne Bowlby, MD
Individual provider Active NPI Pediatric Endocrinology Physician · Charleston, SC
NPI 1417065376 · NPPES record last updated Aug 1, 2011
Key facts
- NPI
- 1417065376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Endocrinology Physician 2080P0205X
- License
- 27686 (SC)
- Practice address
- 171 Ashley Ave
Charleston, SC 29425-0001 - Phone
- (843) 792-1414
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050825000555 | SC | Practitioner - Pediatric Medicine | 9436180833 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current |
Accepting new patients |
Locations
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | 27686 | SC | Yes |
Addresses
Primary practice location
171 Ashley Ave
Charleston, SC 29425-0001
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276864 | Medicaid | SC |
Other providers in Charleston, SC
- John Jacob Bowers
- Kaleigh Bowers
- Kimberly Shealy Bowers
- Mikaela Bowers
- Sara D Bowers
- Kendall Bowler
- Anne Tipton Bowles
- Ingrid Ventura Bowling
- Jonathan Bowling
- Jonathan Lawson Bowling
All providers in Charleston, SC · Pediatric Endocrinology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.