Mary Talley Bowden, M.D.

Primary specialty

Sleep Medicine (Otolaryngology) PhysicianTaxonomy code 207YS0012X

License

K9770 Issued in TX

Practice address

3600 Kirby Dr Ste F
Houston, TX 77098-3941

Phone

(713) 492-2340

Fax

(713) 510-1912

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 16, 2020 through Jan 16, 2028

Specialty

Otolaryngology

Education

Medical College of Georgia School of Medicine, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bowden ENT PLCC

  • Otolaryngology Physician
  • Houston, TX
  • NPI 1730777673
  NPD Authorized official
• Memorial NW Otolaryngology Head & Neck Surgery Associates

  • Otolaryngology Physician
  • Houston, TX
  • NPI 1184707788
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1699858282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W 27TH ST",
            "address_2": "SUITE 234",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081440",
            "telephone_number": "713-802-9779",
            "fax_number": "713-802-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 KIRBY DR STE F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983941",
            "telephone_number": "713-492-2340",
            "fax_number": "713-510-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "MARY",
        "middle_name": "TALLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "K9770",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "TX",
            "license": "K9770",
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "TX",
            "license": "K9770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8J9960",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John D Bovill, MD
• Bow Box on Wheels LLC
• Bowden ENT PLCC
• Andrea Layne Bowden, PA-C, MPAS
• Christie G Bowden, L.D.
• Phillip Wayne Bowden, N.P.
• Terri Jo M Bowden, APRN, FNP-C
• Anna Bowe, APN
• Bowen Enterprises
• Elizabeth Berry Bowen, LCSW

• Otolaryngology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.