Individual provider Active NPI

Laurence Robert Bower III, MD

  • Neurology Physician
  • Boerne, TX
National Provider Identifier
1659478303
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
J8926 Issued in TX
Practice address
30 Cascade Caverns Road
Boerne, TX 78015-8308
Phone
(830) 816-5518
Fax
(830) 331-1042
NPI assigned
Sep 17, 2006
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X J8926 TX Primary
Hospitalist Physician 208M00000X J8926 TX

Addresses

Primary practice location

30 Cascade Caverns Road
Boerne, TX 78015-8308

Mailing address

30 Cascade Caverns Road
Boerne, TX 78015-8308
Phone (210) 609-3349

Other identifiers 2

IdentifierTypeStateIssuer
036280802MedicaidTX
8EE312OtherTXBCBS TX

Other names 1

  • Mr. Bob Bower Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20031118000568 TX Practitioner - Neurology 5395659940 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Boerne, TX

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Oklahoma College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians

Practice addresses (Care Compare)

128 W Bandera Rd
Suite 4
Boerne, TX 78006-2905
Phone (830) 816-5518

5501 S McColl Rd
Edinburg, TX 78539-5503

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.1 of 100Reported as group
Quality
86
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
23.47 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Medical Foundation CurrentSince Aug 11, 2023 Accepting new patients
Kevin D Blair, MD, PA Past Accepting new patients
Kinetics Physical Therapy LTD PastSince Feb 1, 2007 Accepting new patients
Laurence R Bower III MD Neurology PastSince Jan 1, 1990 Accepting new patients

Locations

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

2108 S M St
Ste 4
McAllen, TX 78503
Phone (956) 362-8538

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 4

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 2

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1659478303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CASCADE CAVERNS ROAD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780158308",
            "telephone_number": "210-609-3349",
            "fax_number": "830-331-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CASCADE CAVERNS ROAD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780158308",
            "telephone_number": "830-816-5518",
            "fax_number": "830-331-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWER",
        "first_name": "LAURENCE",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J8926",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "J8926",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036280802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8EE312",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOB",
            "last_name": "BOWER",
            "prefix": "MR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.