Active NPI
Leyda E Bowes, MD
- Dermatology Physician
- Miami, FL
National Provider Identifier
1720031396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME79593
- Practice address
- 3659 S Miami Ave Ste 6008
Miami, FL 33133-4221 - Phone
- (305) 856-6555
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 212720 | MA | |
| Procedural Dermatology Physician | 207NS0135X | ME79593 | FL | |
| Dermatology Physician | 207N00000X | ME79593 | FL | Primary |
Addresses
Primary practice location
3659 S Miami Ave Ste 6008
Miami, FL 33133-4221
Mailing address
15051 S Tamiami TRL Ste 203
Fort Myers, FL 33908-5182
Phone (239) 437-8810
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J26971 | Other | MA | BCBS |
| 272187200 | Medicaid | FL | |
| 468616 | Other | MA | TUFFS HEALTH PLAN |
| 81426 | Other | FL | BCBS OF FLORIDA |
| 2029090 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212720 | MA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1720031396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15051 S TAMIAMI TRL STE 203",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339085182",
"telephone_number": "239-437-8810",
"fax_number": "239-313-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3659 S MIAMI AVE STE 6008",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334221",
"telephone_number": "305-856-6555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWES",
"first_name": "LEYDA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "212720",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "FL",
"license": "ME79593",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME79593",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J26971",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272187200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFFS HEALTH PLAN",
"identifier": "468616",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "81426",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2029090",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.