Individual provider Active NPI

Pamela S Bowyer, ACSW, LCSW, MAC

  • Clinical Social Worker
  • Bradenton, FL
National Provider Identifier
1497837884
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW4437 Issued in FL
Practice address
4802 26TH St W
Suite C
Bradenton, FL 34207-1705
Phone
(941) 752-7773
Fax
(941) 752-7774
NPI assigned
Oct 19, 2006
Last updated
Jul 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW4437 FL Primary

Addresses

Primary practice location

4802 26TH St W
Suite C
Bradenton, FL 34207-1705

Mailing address

4802 26TH St W
Suite C
Bradenton, FL 34207-1705
Phone (941) 752-7773

Other identifiers 1

IdentifierTypeStateIssuer
Z7558OtherFLBLUE CROSS BLUE SHILED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080625000323 FL Practitioner - Clinical Social Worker 6103835764 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela S Bowyer Inc Clinical CurrentSince Mar 17, 2010 Accepting new patients
Institute for Women's Health and Body, LLC PastSince Jan 15, 2019 Accepting new patients

Locations

4802 26th St W
Ste C
Bradenton, FL 34207
Phone (941) 752-7773

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1497837884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 26TH ST W",
            "address_2": "SUITE C",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071705",
            "telephone_number": "941-752-7773",
            "fax_number": "941-752-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 26TH ST W",
            "address_2": "SUITE C",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071705",
            "telephone_number": "941-752-7773",
            "fax_number": "941-752-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWYER",
        "first_name": "PAMELA",
        "middle_name": "S",
        "credential": "ACSW, LCSW, MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHILED",
            "identifier": "Z7558",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.