Individual provider Active NPI

Wilson Edward Bowlby

  • Diagnostic Radiology Physician
  • Durham, NC
National Provider Identifier
1720538937
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2022-01809 Issued in NC
Practice address
2301 Erwin Rd
Durham, NC 27705-4699
Phone
(919) 684-8111
NPI assigned
Oct 12, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 2022-01809 NC Primary

Addresses

Primary practice location

2301 Erwin Rd
Durham, NC 27705-4699

Mailing address

PO Box 63362
Charlotte, NC 28263-3362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, WA, OR3 enrollments
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.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240529003566 MT Practitioner - Diagnostic Radiology 7315297587 Reassigns benefits to 5 organizations
I20240530002621 WA Practitioner - Diagnostic Radiology 7315297587 Reassigns benefits to 11 organizations
I20260507002788 OR Practitioner - Diagnostic Radiology 7315297587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Washington School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Healthcare Resources LLCGroup PAC ID 4486835477, 160 clinicians
Integra Imaging PSGroup PAC ID 1355593062, 126 clinicians
The Corvallis Clinic P CGroup PAC ID 1456244540, 128 clinicians
Inland Imaging LLCGroup PAC ID 6608763016, 128 clinicians
Inland Imaging Associates PSGroup PAC ID 7810327210, 124 clinicians

Practice addresses (Care Compare)

Missoula, MT 59804
Phone (541) 345-0600

101 W 8TH Ave
Spokane, WA 99204-2307
Phone (509) 363-7745

3011 Sandalwood CT
Missoula, MT 59804-9707
Phone (702) 480-2550

3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 754-1150

500 W Broadway St
Missoula, MT 59802-4008
Phone (509) 363-7788

525 S Cowley St
Spokane, WA 99202-1381
Phone (509) 747-4455

600 Country Club Rd
Eugene, OR 97401-2240
Phone (541) 345-0600

801 S Stevens St
Spokane, WA 99204-2654
Phone (509) 363-7788

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Corvallis Clinic P C Multi-Specialty CurrentSince Jul 4, 2025 Accepting new patients
Integra Imaging, PS Multi-Specialty CurrentSince Jul 1, 2024 Accepting new patients
Grant County Public Hospital District 2 Multi-Specialty CurrentSince Jul 1, 2024 Accepting new patients
Oregon Healthcare Resources, LLC Multi-Specialty CurrentSince Aug 12, 2025 Accepting new patients
Duke University Health System Inc Multi-Specialty CurrentSince Aug 1, 2023 Accepting new patients
Moses Lake Community Health Center Multi-Specialty CurrentSince Mar 10, 2025 Accepting new patients
Okanogan Douglas County Hospital Dist 1 Multi-Specialty Current Accepting new patients
Columbia County Hospital District Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients
Okanogan Douglas County Hospital Dist 1 Multi-Specialty CurrentSince Jul 15, 2024 Accepting new patients
Inland Imaging Associates PS Multi-Specialty CurrentSince Jul 1, 2024 Accepting new patients
Okanogan Douglas County Hospital Dist1 Multi-Specialty CurrentSince Jul 15, 2024 Accepting new patients
Columbia County Hospital District CurrentSince Jul 15, 2024 Accepting new patients
Grant County Public Hospital District 3 Multi-Specialty CurrentSince Dec 4, 2025 Accepting new patients
Inland Imaging LLC Multi-Specialty CurrentSince Jul 1, 2024 Accepting new patients
Moses Lake Community Health Center CurrentSince Mar 10, 2025 Accepting new patients
The Corvallis Clinic P C CurrentSince Mar 23, 2026 Accepting new patients
Okanogan Douglas County Hospital Dist 1 Past Accepting new patients

Locations

2740 South Ave W
Missoula, MT 59804
Phone (406) 728-6010

2419 Mullan Rd
Ste D
Missoula, MT 59808
Phone (406) 540-1512

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377

3680 NW Samaritan Dr
Ste 100
Corvallis, OR 97330
Phone (541) 754-1282

3680 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 754-1282

600 Country Club Rd
#100
Eugene, OR 97401
Phone (541) 228-3400

600 Country Club Rd
Eugene, OR 97401
Phone (541) 242-4172

500 E Webster Ave
Chewelah, WA 99109
Phone (509) 482-2154

10 Nicholls St
Davenport, WA 99122
Phone (509) 725-7101

1012 S 3rd St
Dayton, WA 99328
Phone (509) 382-2531

200 Nat Washington Way
Ephrata, WA 98823
Phone (509) 754-3330

605 S Coolidge St
#101
Moses Lake, WA 98837
Phone (509) 765-0674

908 10th Ave SW
Quincy, WA 98848
Phone (509) 787-3503

1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400

1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

525 S Cowley St
Spokane, WA 99202
Phone (509) 625-3397

105 W 8th Ave
Ste 100C
Spokane, WA 99204
Phone (509) 455-4455

801 S Stevens St
Spokane, WA 99204
Phone (206) 621-4316

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4
  • Direct secure messaging: wbowlby427373@direct.medicine.duke.edu

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1720538937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63362",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054699",
            "telephone_number": "919-684-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLBY",
        "first_name": "WILSON",
        "middle_name": "EDWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-12",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2022-01809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.