Herbert Champion Bowling, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3827 Issued in AL

Practice address

297 D South Jackson St.
Grove Hill, AL 36451-0220

Phone

(251) 275-3611

Fax

(251) 275-3622

NPI assigned

Aug 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679686067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "address_2": "297 D SOUTH JACKSON ST.",
            "city": "GROVE HILL",
            "state": "AL",
            "postal_code": "364510220",
            "telephone_number": "251-275-3611",
            "fax_number": "251-275-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 D SOUTH JACKSON ST.",
            "city": "GROVE HILL",
            "state": "AL",
            "postal_code": "364510220",
            "telephone_number": "251-275-3611",
            "fax_number": "251-275-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLING",
        "first_name": "HERBERT",
        "middle_name": "CHAMPION",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salah Al-Abbadi, MD
• Lynda Ilene Austin
• George R. Ball, OT
• Susan Nicole Bettis, PMHNP-BC
• Boone and Davis Pharmacies, Inc. (City Drugs)
• Rachel S Bradford, LICSW
• Anna Marie Brooks, CRNP
• Katie B Brooks, FNP
• Stephanie Brown
• Latasha R Burroughs, RN

• General Practice Dentistry in Grove Hill, AL
• Providers in Grove Hill, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.