NPIMap

Individual provider Active NPI

Stephen R Bowen, PH.D., M.D.

  • Internal Medicine Physician
  • Sylacauga, AL
National Provider Identifier
1689688111
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10458 Issued in AL
Practice address
209 W Spring St
Suite 200
Sylacauga, AL 35150-2973
Phone
(256) 245-5241
Fax
(256) 245-0194
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10458 AL Primary

Addresses

Primary practice location

209 W Spring St
Suite 200
Sylacauga, AL 35150-2973

Mailing address

209 W Spring St
Suite 200
Sylacauga, AL 35150-2973
Phone (256) 245-5241

Other identifiers 3

IdentifierTypeStateIssuer
110229290OtherALRAILROAD MEDICARE
51075938OtherALBLUE CROSS
009971300MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100330001162 AL Practitioner - Internal Medicine 6305846916 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Sylacauga Health Care Authority CurrentSince Mar 31, 2018 Accepting new patients
The Sylacauga Health Care Authority CurrentSince Mar 31, 2018 Accepting new patients
Craddock Health Center P C Internal Medicine CurrentSince Jan 1, 2002 Accepting new patients
Southern Medical Group, Inc Past Accepting new patients
The Sylacauga Health Care Authority Past Accepting new patients

Locations

9518 US Highway 231
Rockford, AL 35136
Phone (256) 377-4366

209 W Spring St
Ste 200
Sylacauga, AL 35150
Phone (256) 245-5238

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

Interoperability endpoints

  • Direct secure messaging: stephen.bowen@cradcent.direct.medconnect-inc.com
  • Direct secure messaging: stephen.bowen@chc.direct.medconnecthealth.com

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Coosa Valley Medical CenterSylacauga, AL, CCN 010164 Hospital Corporate Director Aug 1, 2007
Coosa Valley Medical CenterSylacauga, AL, CCN 01S164 Hospital Corporate Director Aug 1, 2007
Coosa Valley HospiceSylacauga, AL, CCN 011661 Hospice Corporate Director Aug 1, 2007
Davis Family MedicineSylacauga, AL, CCN 018506 Rural health clinic Corporate Director Jul 1, 2023
Nix Family MedicineChildersburg, AL, CCN 018503 Rural health clinic Corporate Director Jul 1, 2023

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1689688111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W SPRING ST",
            "address_2": "SUITE 200",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502973",
            "telephone_number": "256-245-5241",
            "fax_number": "256-245-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W SPRING ST",
            "address_2": "SUITE 200",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502973",
            "telephone_number": "256-245-5241",
            "fax_number": "256-245-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "10458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110229290",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51075938",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009971300",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

Verify at the official NPI Registry.