Individual provider Active NPI

Phillip R Bowden, M.D.

  • Specialist
  • Memphis, TN
National Provider Identifier
1811003635
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25950 Issued in TN
Practice address
1417 Monroe Ave
Memphis, TN 38104-3634
Phone
(901) 272-7200
Fax
(901) 260-5916
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25950 TN Primary

Addresses

Primary practice location

1417 Monroe Ave
Memphis, TN 38104-3634

Mailing address

PO Box 22403
Belfast, ME 04915-4476
Phone (888) 402-7256

Other practice location 1

2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 820-7000

Other practice location 2

5959 Park Ave
Memphis, TN 38119
Phone (910) 765-1000

Other practice location 3

1717 Kirby Pkwy Ofc Circle
Memphis, TN 38120
Phone (901) 272-7200

Other identifiers 2

IdentifierTypeStateIssuer
3088251MedicaidTN
25950OtherTNMEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20050317000722 TN Practitioner - Gastroenterology 2668372467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Arkansas College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis Physician Network, LLCGroup PAC ID 2365701943, 74 clinicians

Practice addresses (Care Compare)

5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-3409

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.64 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
78.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy390
Upper gastrointestinal (GI) endoscopy for acid reflux110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phillip R. Bowden, M.D.,P.a. Specialist CurrentSince Mar 1, 1996 Accepting new patients
Bowden Injury & Rehabilitation Current Accepting new patients
Saint Francis Physician Network, LLC CurrentSince Oct 30, 2024 Accepting new patients

Locations

2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

1717 Kirby Pkwy
Ofc Cir
Memphis, TN 38120
Phone (901) 236-0508

1417 Monroe Ave
Memphis, TN 38104
Phone (901) 272-7200

1717 Kirby Pkwy
Memphis, TN 38120
Phone (901) 272-7200

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

Interoperability endpoints

  • Direct secure messaging: phillip.bowden.1@16700.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1811003635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22403",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154476",
            "telephone_number": "888-402-7256",
            "fax_number": "888-902-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 MONROE AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043634",
            "telephone_number": "901-272-7200",
            "fax_number": "901-260-5916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2986 Kate Bond Rd",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "38133",
            "country_code": "US",
            "telephone_number": "901-820-7000",
            "fax_number": "901-820-7051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5959 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38119",
            "country_code": "US",
            "telephone_number": "910-765-1000",
            "fax_number": "901-765-1981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 Kirby Pkwy Ofc Circle",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38120",
            "country_code": "US",
            "telephone_number": "901-272-7200",
            "fax_number": "901-757-7573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "PHILLIP",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "25950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3088251",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "25950",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.