Individual provider Active NPI

Brian Michael Bowlin, M.D.

  • Family Medicine Physician
  • Vilonia, AR
National Provider Identifier
1548657406
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-11492 Issued in AR
Practice address
1159 Main St
Vilonia, AR 72173
Phone
(501) 796-8484
Fax
(501) 796-2453
NPI assigned
Apr 18, 2015
Last updated
Aug 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-11492 AR Primary

Addresses

Primary practice location

1159 Main St
Vilonia, AR 72173

Mailing address

1159 Main St
Vilonia, AR 72173-9525
Phone (501) 796-8484

Other practice location 1

612 S 12th St
Fort Smith, AR 72901-4702
Phone (479) 785-2431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20180830001834 AR Practitioner - Family Practice 5799090981 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Hospital Inc.Group PAC ID 0941105480, 187 clinicians
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians

Practice addresses (Care Compare)

225 E Washington Ave
St Bernards Medical Center
Jonesboro, AR 72401-3119
Phone (870) 972-4100

700 W Grove St
El Dorado, AR 71730-4416
Phone (888) 264-0330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-11492ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HCC of El Dorado LLC CurrentSince Mar 1, 2023 Accepting new patients
Concord Medical Group PLLC CurrentSince Dec 1, 2024 Accepting new patients
Five Rivers Medical Center Inc. Current Accepting new patients
St Bernards Hospital Inc. CurrentSince Mar 1, 2023 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Dec 1, 2024 Accepting new patients
Five Rivers Medical Center CurrentSince Oct 1, 2025 Accepting new patients
Ess Hospitalist LLC CurrentSince Oct 4, 2022 Accepting new patients
Arkansas Health Group CurrentSince Oct 18, 2021 Accepting new patients
WH Services Arkansas, LLC CurrentSince Sep 1, 2024 Accepting new patients
Arkansas Health Group CurrentSince Oct 18, 2021 Accepting new patients

Locations

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000

1800 By Pass Rd
Heber Springs, AR 72543
Phone (501) 728-4535

1801 Martin Luther King Jr Dr
Helena, AR 72342
Phone (870) 338-5800

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9601 Interstate 630
#7
Little Rock, AR 72205
Phone (501) 202-3995

1701 Club Manor Dr
#2B
Maumelle, AR 72113

1701 Club Manor Dr
Ste 2B
North Little Rock, AR 72113
Phone (501) 812-7216

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

2801 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-6000

310 Falls Blvd S
Wynne, AR 72396
Phone (870) 208-2151

Interoperability endpoints

  • Direct secure messaging: bbowlin259709@direct.baptist-healthar.org

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1429315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1548657406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 MAIN ST",
            "city": "VILONIA",
            "state": "AR",
            "postal_code": "721739525",
            "telephone_number": "501-796-8484",
            "fax_number": "501-796-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 MAIN ST",
            "city": "VILONIA",
            "state": "AR",
            "postal_code": "72173",
            "telephone_number": "501-796-8484",
            "fax_number": "501-796-2453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 S 12th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729014702",
            "country_code": "US",
            "telephone_number": "479-785-2431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWLIN",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-18",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-11492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vilonia, AR

Sources for this page

Verify at the official NPI Registry.