Active NPI
Rudolph Noah Bowens Jr., MD
- Urology Physician
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- E-11795
- Practice address
- 303 E Matthews Ave Ste 100
Jonesboro, AR 72401-3113 - Phone
- (870) 207-2926
- NPI assigned
- May 13, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 11015483A | IN | |
| Urology Physician | 208800000X | E-11795 | AR | Primary |
Addresses
Primary practice location
303 E Matthews Ave Ste 100
Jonesboro, AR 72401-3113
Mailing address
303 E Matthews Ave Ste 100
Jonesboro, AR 72401-3113
Phone (870) 207-2926
Other practice location 1
2512 E DuPont Rd Ste 100
Fort Wayne, IN 46825-1609
Phone (260) 436-6667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Indiana University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
303 E Matthews Ave
Suite 100
Jonesboro, AR 72401-3113
Phone (870) 207-2926
Hospital & facility affiliations
- St Bernards Medical Center
- Lawrence Memorial Hospital
- Arkansas Methodist Medical Center
- St Bernards Five Rivers Medical Center
- Crossridge Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-11795 | AR | MD | Urology Physician |
| 11015483A | IN | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Medical Group Inc | Current | Accepting new patients | |
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| St Joseph Medical Group Inc | Current | Accepting new patients | |
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242
1100 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-8500
1007 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 336-0472
303 E Matthews Ave
Ste 100
Jonesboro, AR 72401
Phone (870) 207-2926
800 Broadway
Ste 204
Fort Wayne, IN 46802
Phone (260) 420-4884
2512 E DuPont Rd
Ste 100
Fort Wayne, IN 46825
Phone (260) 347-4459
800 Broadway
Ste 115
Fort Wayne, IN 46802
Phone (219) 425-3636
Interoperability endpoints
- rbowens@sbpc.medalliesdirect.net
Organizations & group practices 5
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.
-
dba St Bernards Surgical Associates
- Surgery Physician
- Jonesboro, AR
- NPI 1447923438
-
- General Practice Physician
- Fort Wayne, IN
- NPI 1811952070
-
- Diagnostic Radiology Physician
- Jonesboro, AR
- NPI 1780546051
-
- Family Medicine Physician
- Angola, IN
- NPI 1801851902
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Arkansas Methodist Medical Center
- General Acute Care Hospital
- Paragould, AR
- NPI 1437222312
-
dba St. Bernards Five Rivers Medical Center
- General Acute Care Hospital
- Pocahontas, AR
- NPI 1528360989
-
dba Lawrence Memorial Hospital
- Critical Access Hospital
- Walnut Ridge, AR
- NPI 1194724658
-
- Critical Access Hospital
- Wynne, AR
- NPI 1962410183
-
dba St Bernards Medical Center
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1922043686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1487972527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 E MATTHEWS AVE STE 100",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013113",
"telephone_number": "870-207-2926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E MATTHEWS AVE STE 100",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013113",
"telephone_number": "870-207-2926"
}
],
"practiceLocations": [
{
"address_1": "2512 E DuPont Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468251609",
"country_code": "US",
"telephone_number": "260-436-6667",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWENS",
"first_name": "RUDOLPH",
"middle_name": "NOAH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-13",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IN",
"license": "11015483A",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AR",
"license": "E-11795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.