Richard Lee Bowe, M.D.

Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · Albany, GA

NPI 1619085230 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1619085230
Entity type
Individual (NPI type 1)
Primary specialty
Pain Medicine (Anesthesiology) Physician 207LP2900X
License
030961 (GA)
Practice address
406 W 1St Ave
Albany, GA 31701-2202
Phone
(229) 439-9400
Fax
(229) 436-3718
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Anesthesiology
Education
University of Missouri, Kansas City, School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoebe Physician Group Inc (420 clinicians)

Practice addresses (Care Compare)

151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900

151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800

151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882

151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100

151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5222

Hospital & facility affiliations

  • Phoebe Putney Memorial Hospital Hospital · Albany, GA · CCN 110007

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100810000068 GA Practitioner - Anesthesiology 9234213984 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
030961GAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Physician Group, Inc Current
since Aug 1, 2011
Accepting new patients
Phoebe Family Medicine,Coffee County Current
since Aug 1, 2011
Accepting new patients
Phoebe Putney Memorial Hospital Inc Past
since Dec 1, 2008
Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

406 W 1st Ave
Albany, GA 31701
Phone (229) 439-9400

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 030961 GA Yes

Addresses

Primary practice location

406 W 1St Ave
Albany, GA 31701-2202

Mailing address

406 W 1St Ave
Albany, GA 31701-2202
Phone (229) 439-9400

Other identifiers

IdentifierTypeStateIssuer
238495OtherGABLUE CROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619085230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W 1ST AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012202",
            "telephone_number": "229-439-9400",
            "fax_number": "229-436-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W 1ST AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012202",
            "telephone_number": "229-439-9400",
            "fax_number": "229-436-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWE",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "030961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "238495",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

All providers in Albany, GA · Pain Medicine (Anesthesiology) Physician in Georgia

Sources for this page

Verify at the official NPI Registry.