Robert Rowley Bowman Jr., M.D.

Individual provider Active NPI Family Medicine Physician · Floyd, VA

NPI 1689695140 · NPPES record last updated Feb 24, 2017

Key facts

NPI
1689695140
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
0101029474 (VA)
Practice address
911 E Main St
Floyd, VA 24091-4183
Phone
(540) 745-2031
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101029474KYMDFamily Medicine Physician
0101039474VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smyth County Community Hospital/ Emergency Department Physicians Emergency Medicine Current Accepting new patients

Locations

565 Radio Hill Rd
Marion, VA 24354
Phone (276) 782-1194

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101029474 KY
Emergency Medicine Physician 207P00000X 0101029474 KY
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 0101029474 VA
Family Medicine Physician 207Q00000X 0101029474 VA Yes

Addresses

Primary practice location

911 E Main St
Floyd, VA 24091-4183

Mailing address

911 E Main St
Floyd, VA 24091-4183

Other identifiers

IdentifierTypeStateIssuer
1689695140MedicaidVA
7100147800MedicaidKY

Other providers in Floyd, VA

All providers in Floyd, VA · Family Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.