Individual provider Active NPI

Pamela Gray Bowen, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1740308543
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1058291 Issued in AL
Practice address
1720 2ND Ave S
NB 416
Birmingham, AL 35294-0113
Phone
(205) 934-2778
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1058291 AL Primary

Addresses

Primary practice location

1720 2ND Ave S
NB 416
Birmingham, AL 35294-0113

Mailing address

1015 Forest Rd
Pleasant Grove, AL 35127-3510
Phone (205) 744-8418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130507000031 AL Order and Referring Only - Nurse Practitioner 4284871542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1058291ALMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: pbowen@direct.uabmedicine.org

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1740308543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 FOREST RD",
            "city": "PLEASANT GROVE",
            "state": "AL",
            "postal_code": "351273510",
            "telephone_number": "205-744-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 2ND AVE S",
            "address_2": "NB 416",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940113",
            "telephone_number": "205-934-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "PAMELA",
        "middle_name": "GRAY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1058291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.