Individual provider Active NPI

Samuel R. Bowen II, MD

  • Neurological Surgery Physician
  • Birmingham, AL
National Provider Identifier
1790734226
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
22511 Issued in AL
Practice address
806 St. Vincent'S Drive
Suite 450
Birmingham, AL 35205
Phone
(205) 986-5200
Fax
(205) 986-5250
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 22511 AL Primary

Addresses

Primary practice location

806 St. Vincent'S Drive
Suite 450
Birmingham, AL 35205

Mailing address

806 St. Vincent'S Drive Pob a
Suite 450
Birmingham, AL 35205
Phone (205) 986-5200

Other identifiers 8

IdentifierTypeStateIssuer
51007584OtherALBLUE CROSS & BLUE SHIELD
G87660OtherALSENIORS FIRST
G87660OtherALHEALTHSPRING INSURANCE
9285291OtherALCIGNA INSURANCE
000007584MedicaidAL
374211700OtherALUS DEPT OF LABOR
0610083OtherALUNITED HEALTH CARE
051007584OtherALBLUE ADVANTAGE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820000336 AL Practitioner - Neurosurgery 8921000985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Alabama School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
STV Neuro I LLCGroup PAC ID 8224309406, 5 clinicians

Practice addresses (Care Compare)

806 Saint Vincents Dr
Suite 450
Birmingham, AL 35205-1684
Phone (205) 986-5200

Hospital & facility affiliations

  • Compassus Home Health Home health agency, Birmingham, AL, CCN 017149
  • St Vincent'S Birmingham Hospital, Birmingham, AL, CCN 010056
  • Coosa Valley Medical Center Hospital, Sylacauga, AL, CCN 010164
  • St Vincents Blount Hospital, Oneonta, AL, CCN 011305
  • Russell Medical Center Hospital, Alexander City, AL, CCN 010065

Merit-based Incentive Payment System (MIPS)

Final score
87.98 of 100Reported as individual
Quality
76.84
Improvement activities
40
Cost
90.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion253
Laminectomy or laminotomy (partial removal of spine bones)93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22511ALMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
STV Neuro I LLC Neurological Surgery CurrentSince Jul 1, 2017 Accepting new patients

Locations

806 Saint Vincents Dr
Ste 450
Birmingham, AL 35205
Phone (205) 536-7676

806 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 581-7124

3125 Independence Dr
Ste 200
Homewood, AL 35209
Phone (205) 558-3427

150 Gilbreath Dr
Oneonta, AL 35121
Phone (205) 274-3000

7067 Veterans Pkwy
Pell City, AL 35125
Phone (205) 814-2342

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.

Hospital & facility affiliations 5

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1790734226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 ST. VINCENT'S DRIVE POB A",
            "address_2": "SUITE 450",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35205",
            "telephone_number": "205-986-5200",
            "fax_number": "205-986-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 ST. VINCENT'S DRIVE",
            "address_2": "SUITE 450",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35205",
            "telephone_number": "205-986-5200",
            "fax_number": "205-986-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "SAMUEL",
        "middle_name": "R.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AL",
            "license": "22511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "51007584",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENIORS FIRST",
            "identifier": "G87660",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING INSURANCE",
            "identifier": "G87660",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INSURANCE",
            "identifier": "9285291",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000007584",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "374211700",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0610083",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE ADVANTAGE",
            "identifier": "051007584",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.