Marta Renee Bowen, M.D.
Individual provider Active NPI Psychiatry Physician · Butner, NC
NPI 1790831246 · NPPES record last updated Sep 29, 2015
Key facts
- NPI
- 1790831246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 200301331 (NC)
- Practice address
- 1003 12TH St
Butner, NC 27509-1626 - Phone
- (919) 405-6680
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151022001117 | NC | Order and Referring Only - Psychiatry |
5597654491 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 200301331 | NC | Yes |
Addresses
Primary practice location
1003 12TH St
Butner, NC 27509-1626
Mailing address
300 Veazey Dr
Butner, NC 27509-1668
Phone (919) 764-2150
Other providers in Butner, NC
- Scott Mathew Boiallis
- Robert Bryan Bomberg
- Mack Bonner
- Umit Borkan-Sevim
- Noa Borkan
- Karla Bowens
- Mary Ann McElveen Bradshaw
- Kassondra Amada Shoemaker Brino
- Amanda Brown
- Kelly Brown
All providers in Butner, NC · Psychiatry Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.