Active NPI
Bowers Mobility Sales & Repair
- Customized Equipment (DME)
- Martinsburg, WV
National Provider Identifier
1609926716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 791086
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810009126 | Medicaid | WV | |
| 001979878 | Other | WV | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.