NPIMap

Individual provider Active NPI

Randy E Bowles, M.D.

  • Internal Medicine Physician
  • Joplin, MO
National Provider Identifier
1851332860
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2001017184 Issued in MO
Practice address
1002 MC Intosh Cir
Suite 1
Joplin, MO 64804-3642
Phone
(417) 781-0224
Fax
(417) 781-0692
NPI assigned
Jun 9, 2006
Last updated
Nov 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2001017184 MO Primary

Addresses

Primary practice location

1002 MC Intosh Cir
Suite 1
Joplin, MO 64804-3642

Mailing address

1002 MC Intosh Cir
Suite 1
Joplin, MO 64804-3642
Phone (417) 781-0224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060925000204 MO Practitioner - Internal Medicine 6406851526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1002 McIntosh Cir
Suite 1
Joplin, MO 64804-3600
Phone (417) 781-0224

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sooner Internal Medicine, LLC Internal Medicine CurrentSince Sep 1, 2006 Accepting new patients
Mercy Clinic Joplin LLC Internal Medicine Past Accepting new patients
Sjmgroup Past Accepting new patients
Freeman-Oak Hill Health System Internal Medicine PastSince Sep 1, 2006 Accepting new patients

Locations

1002 McIntosh Cir
Ste 1
Joplin, MO 64804
Phone (417) 206-7272

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1851332860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 MC INTOSH CIR",
            "address_2": "SUITE 1",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043642",
            "telephone_number": "417-781-0224",
            "fax_number": "417-781-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 MC INTOSH CIR",
            "address_2": "SUITE 1",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043642",
            "telephone_number": "417-781-0224",
            "fax_number": "417-781-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "RANDY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2001017184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.