Individual provider Active NPI

Wilbur B. Bowne, M.D.

  • Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1790762516
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD441322 Issued in PA
Practice address
1100 Walnut St FL 5
Philadelphia, PA 19107
Phone
(215) 955-6750
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD441322 PA Primary

Addresses

Primary practice location

1100 Walnut St FL 5
Philadelphia, PA 19107

Mailing address

1100 Walnut St FL 5
Philadelphia, PA 19107-4944
Phone (215) 955-6750

Other practice location 1

219 N Broad St
8th Floor
Philadelphia, PA 19107-1519
Phone (215) 762-1545

Other identifiers 1

IdentifierTypeStateIssuer
02587846MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110615000286 PA Practitioner - Surgical OncologyPractitioner - General Surgery 3072573054 Reassigns benefits to 1 organization
I20251003003224 TX Practitioner - General Surgery 3072573054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The University of Texas Rio Grande ValleyGroup PAC ID 3577885276, 83 clinicians

Practice addresses (Care Compare)

614 Maco Dr
Harlingen, TX 78550-8450
Phone (833) 887-4863

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians Surgery CurrentSince Nov 1, 2019 Accepting new patients
The University of Texas Rio Grande Valley CurrentSince Oct 1, 2025 Accepting new patients
The University of Texas Rio Grande Valley Surgery CurrentSince Oct 1, 2025 Accepting new patients
University Physicians of Brooklyn, Inc. Surgery Past Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

1100 Walnut St
Fl 5
Philadelphia, PA 19107
Phone (215) 955-6750

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437

614 Maco Dr
Harlingen, TX 78550
Phone (956) 296-7000

1400 N Commerce Ctr
Ste 2350
McAllen, TX 78501
Phone (956) 296-4900

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

Interoperability endpoints

  • Direct secure messaging: wbowne91265@direct.utmb.edu

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1790762516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WALNUT ST FL 5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074944",
            "telephone_number": "215-955-6750",
            "fax_number": "215-923-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WALNUT ST FL 5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-955-6750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 N Broad St",
            "address_2": "8th Floor",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191071519",
            "country_code": "US",
            "telephone_number": "215-762-1545",
            "fax_number": "215-563-5514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWNE",
        "first_name": "WILBUR",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD441322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02587846",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.