Active NPI
Robert Emerson Bowen, MD
- Allergy & Immunology Physician
- Fort Pierce, FL
National Provider Identifier
1447224852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- ME110220
- Practice address
- 1001 N Hwy Us1
Fort Pierce, FL 34950 - Phone
- (772) 332-4420
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD042626E | PA | |
| Allergy & Immunology Physician | 207K00000X | 190864-1 | NY | |
| Allergy & Immunology Physician | 207K00000X | ME110220 | FL | Primary |
Addresses
Primary practice location
1001 N Hwy Us1
Fort Pierce, FL 34950
Mailing address
5047 N Hwy A1A Apt 1502
Fort Pierce, FL 34949-8238
Phone (772) 332-4420
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011485140001 | Medicaid | PA | |
| 040015199 | Other | PA | RR MEDICARE PIN |
| CC9269 | Other | PA | RR MEDICARE GROUP |
| 01111760 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190864-1 | NY | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371686400000",
"number": "1447224852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5047 N HWY A1A APT 1502",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349498238",
"telephone_number": "772-332-4420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N HWY US1",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "34950",
"telephone_number": "772-332-4420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "ROBERT",
"middle_name": "EMERSON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2013-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "PA",
"license": "MD042626E",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NY",
"license": "190864-1",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "FL",
"license": "ME110220",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011485140001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "040015199",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CC9269",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01111760",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.