Individual provider Active NPI

Rudolph Noah Bowens Jr., MD

  • Urology Physician
  • Jonesboro, AR
National Provider Identifier
1487972527
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
E-11795 Issued in AR
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

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, AR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150603001229 IN Practitioner - Urology 5395985899 Reassigns benefits to 1 organization
I20190205002035 AR Practitioner - Urology 5395985899 Reassigns benefits to 1 organization

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
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

303 E Matthews Ave
Suite 100
Jonesboro, AR 72401-3113
Phone (870) 207-2926

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-11795ARMDUrology Physician
11015483AINMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Medical Group Inc CurrentSince Aug 1, 2015 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Jan 1, 2023 Accepting new patients
St Joseph Medical Group Inc CurrentSince Aug 1, 2015 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Jan 1, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.