Individual provider Active NPI

Blythe Elizabeth Bowman, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Needham, MA
National Provider Identifier
1427287614
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD207433 Issued in LA
Practice address
15 Crawford St Ste 100
Needham, MA 02494-2648
Phone
(866) 588-3280
Fax
(972) 767-0225
NPI assigned
Jul 8, 2009
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD207433 LA Primary

Addresses

Primary practice location

15 Crawford St Ste 100
Needham, MA 02494-2648

Mailing address

15 Crawford St Ste 100
Needham, MA 02494-2648
Phone (866) 588-3280

Other identifiers 2

IdentifierTypeStateIssuer
2377817MedicaidLA
01439346MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AR, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20141119001714 LA Practitioner - Pathology 6406078856 Reassigns benefits to 1 organization
I20180619001179 AR Practitioner - Pathology 6406078856 Reassigns benefits to 2 organizations
I20250828003323 TX Practitioner - Pathology 6406078856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Arkansas College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Pathology AssociatesGroup PAC ID 7012902539, 76 clinicians
Prime Medical Group PLLCGroup PAC ID 1153753520, 17 clinicians

Practice addresses (Care Compare)

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-5000

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 593-8441

9601 Baptist Health Dr
Suite 690
Little Rock, AR 72205-6328
Phone (501) 227-8422

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD207433LAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pathology Solutions, PLLC CurrentSince May 12, 2018 Accepting new patients
Prime Medical Group PLLC CurrentSince Dec 15, 2019 Accepting new patients
Austin Pathology Associates Anatomic Pathology & Clinical Pathology CurrentSince Oct 6, 2025 Accepting new patients
Austin Pathology Associates Anatomic Pathology & Clinical Pathology CurrentSince Oct 6, 2025 Accepting new patients

Locations

2500 Highway 65 S
Clinton, AR 72031
Phone (501) 745-7000

16115 Saint Vincent Way
Ste 300
Little Rock, AR 72223
Phone (501) 420-3376

9601 Baptist Health Dr
Ste 690
Little Rock, AR 72205
Phone (501) 227-8422

5328 Northshore Cv
North Little Rock, AR 72118
Phone (501) 225-1400

1416 W 43rd Ave
Pine Bluff, AR 71603
Phone (501) 776-3800

220 N Sidney Ave
Russellville, AR 72801
Phone (479) 498-0858

651 Heritage Dr
Sheridan, AR 72150
Phone (870) 942-1301

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

601 N 19th St
Corpus Christi, TX 78408
Phone (361) 881-3035

1355 River Bend Dr
Dallas, TX 75247
Phone (214) 237-1818

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

3201 S Loop 256
Ste 800
Palestine, TX 75801
Phone (903) 723-0330

115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 439-4052

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

719 W Coke Rd
Winnsboro, TX 75494
Phone (903) 342-3961

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1427287614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CRAWFORD ST STE 100",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942648",
            "telephone_number": "866-588-3280",
            "fax_number": "972-767-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CRAWFORD ST STE 100",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942648",
            "telephone_number": "866-588-3280",
            "fax_number": "972-767-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "BLYTHE",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "MD207433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2377817",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01439346",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.