Paul Allen Bowen II, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

020965 Issued in GA

Practice address

208 Scranton Connector
Suite 117
Brunswick, GA 31525-0559

Phone

(912) 264-5961

Fax

(912) 262-9499

NPI assigned

Feb 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Brunswick Urgent Care, LLC

  • Family Nurse Practitioner
  • Brunswick, GA
  • NPI 1023571411
  NPD (past)

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1487628277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 SCRANTON CONNECTOR",
            "address_2": "SUITE 117",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250559",
            "telephone_number": "912-264-5961",
            "fax_number": "912-262-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 SCRANTON CONNECTOR",
            "address_2": "SUITE 117",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250559",
            "telephone_number": "912-264-5961",
            "fax_number": "912-262-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "PAUL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "020965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00401185",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000264173D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "52210475",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charity Christine Boree, MSN, APRN, FNP-C
• Richard Neal Boswell, MD
• Kristen Marie Boucher, D.C.
• Erick Bournigal, MD
• Christopher John Bovinet, D.O.
• Teah Bowen, RN SANE
• Jason Bowman, MD
• Brian C Boyd, PT
• Jennifer Ann Boykin, DOCTOR OF PHARMACY
• Shannon K Boykin, CCC/SLP

• Nephrology Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.