Bradley Reid Bowman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

060048 Issued in GA

Practice address

5221 Forest View Cir SE
Mableton, GA 30126-5947

Phone

(770) 941-2152

Fax

(770) 732-0899

NPI assigned

May 30, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1669630133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 FOREST VIEW CIR SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265947",
            "telephone_number": "770-941-2152",
            "fax_number": "770-732-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 FOREST VIEW CIR SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265947",
            "telephone_number": "770-941-2152",
            "fax_number": "770-732-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "BRADLEY",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "060048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Georgia, Inc.
• Candace L Bloomer, PHARMACIST
• Thaddeus A Blue, PHARMD
• Kayla V Bolden, MPH
• Robert R Booth, D.C.
• BR8K Thru Support Services
• Phillip Wayne Bracken, DDS
• Brighter Dayz, Incorporated
• Broadway Express
• Anthony Brown, LMSW

• Internal Medicine Physician in Mableton, GA
• Providers in Mableton, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.