Individual provider Active NPI

Harrison N Bowes Jr.

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1477504785
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
H5390 Issued in TX
Practice address
730 N Main
#721
San Antonio, TX 78205
Phone
(210) 223-4273
Fax
(210) 212-6870
NPI assigned
May 12, 2006
Last updated
Jan 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X H5390 TX Primary

Addresses

Primary practice location

730 N Main
#721
San Antonio, TX 78205

Mailing address

730 North Main
#721
San Antonio, TX 78205
Phone (210) 223-4273

Other identifiers 1

IdentifierTypeStateIssuer
110746803MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101108000530 TX Practitioner - Ophthalmology 5799970471 Practice locations: San Antonio, TX

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1477504785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 NORTH MAIN",
            "address_2": "#721",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78205",
            "telephone_number": "210-223-4273",
            "fax_number": "210-212-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N MAIN",
            "address_2": "#721",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78205",
            "telephone_number": "210-223-4273",
            "fax_number": "210-212-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWES",
        "first_name": "HARRISON",
        "middle_name": "N",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H5390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110746803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.