Individual provider Active NPI

Patricia Jean Bowling, M.D.

  • Psychiatry Physician
  • Orem, UT
National Provider Identifier
1629071402
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
172239-1205 Issued in UT
Practice address
1350 E 750 N
Orem, UT 84097-4345
Phone
(801) 852-2273
Fax
(801) 227-2199
NPI assigned
May 24, 2005
Last updated
May 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 172239-1205 UT Primary
General Practice Physician 208D00000X 5125 NV

Addresses

Primary practice location

1350 E 750 N
Orem, UT 84097-4345

Mailing address

1350 E 750 N
Orem, UT 84097-4345
Phone (801) 852-2273

Other identifiers 1

IdentifierTypeStateIssuer
002018934MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
172239-1205UTMDPsychiatry Physician
5125NVMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bacchus PC General Practice PastSince Apr 1, 2018 Accepting new patients
Healthcare Partners Medical Group (Coats), LTD. Past Accepting new patients
Asana Integrated Medical Group PC Psychiatry Past Accepting new patients

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1629071402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E 750 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974345",
            "telephone_number": "801-852-2273",
            "fax_number": "801-227-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E 750 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974345",
            "telephone_number": "801-852-2273",
            "fax_number": "801-227-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLING",
        "first_name": "PATRICIA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "172239-1205",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "5125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018934",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.