Organization Active NPI

Bowers Mobility Sales & Repair

  • Customized Equipment (DME)
  • Martinsburg, WV
National Provider Identifier
1609926716
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
791086 Issued in WV
Legal business name
BOWERS MOBILITY SALES & REPAIR
Practice address
1512 Winchester Ave
Martinsburg, WV 25401-5025
Phone
(304) 596-2361
NPI assigned
Jan 11, 2007
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Mr. Joe Allan Bowers
Title
Owner
Phone
(304) 676-5463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 791086 WV Primary

Addresses

Primary practice location

1512 Winchester Ave
Martinsburg, WV 25401-5025

Mailing address

1512 Winchester Ave
Martinsburg, WV 25401-5025
Phone (304) 596-2361

Other identifiers 2

IdentifierTypeStateIssuer
3810009126MedicaidWV
001979878OtherWVBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1512 Winchester Ave
Martinsburg, WV 25405
Phone (304) 596-2361

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1609926716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 WINCHESTER AVE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254015025",
            "telephone_number": "304-596-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 WINCHESTER AVE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254015025",
            "telephone_number": "304-596-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWERS MOBILITY SALES & REPAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-676-5463",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WV",
            "license": "791086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810009126",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001979878",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.