Active NPI
David M Bowden, M.D.
- Ophthalmology Physician
- Easley, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 16036
- Practice address
- 220 S Pendleton St
Easley, SC 29640-3048 - Phone
- (864) 271-3354
- NPI assigned
- Jan 25, 2006
- Last updated
- Sep 8, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 16036 | SC | Primary |
Addresses
Primary practice location
220 S Pendleton St
Easley, SC 29640-3048
Mailing address
601 Halton Rd
Greenville, SC 29607-3403
Phone (864) 458-7956
Other practice location 1
601 Halton Rd
Greenville, SC 29607-3403
Phone (864) 458-7956
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LL9220 | Medicaid | SC | |
| 2645860003 | Other | SC | CIGNA PROVIDER NUMBER |
| 4385116 | Other | SC | AETNA PROVIDER NUMBER |
| 180018449 | Other | SC | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16036 | SC | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jervey Eye Group, PA | Ophthalmology | Current | Accepting new patients |
| Jervey Eye Group, PA | Ophthalmology | Past | Accepting new patients |
Locations
220 S Pendleton St
Easley, SC 29640
Phone (864) 859-3233
601 Halton Rd
Greenville, SC 29607
Phone (864) 458-7956
5 Stevens St
Ste 100
Greenville, SC 29605
Phone (864) 250-6487
1 Colony Centre Way
Simpsonville, SC 29681
Phone (864) 458-3900
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Simpsonville, SC
- NPI 1447220710
-
- Ophthalmology Physician
- Greenville, SC
- NPI 1992775696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1871563544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 HALTON RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296073403",
"telephone_number": "864-458-7956",
"fax_number": "864-458-8390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S PENDLETON ST",
"city": "EASLEY",
"state": "SC",
"postal_code": "296403048",
"telephone_number": "864-271-3354"
}
],
"practiceLocations": [
{
"address_1": "601 Halton Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296073403",
"country_code": "US",
"telephone_number": "864-458-7956",
"fax_number": "864-458-8390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWDEN",
"first_name": "DAVID",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "SC",
"license": "16036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LL9220",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "2645860003",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "4385116",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "180018449",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easley, SC
- Bon Secours Mercy Health Virtual Care LLC (Bon Secours - Virtual Care)
- Leah Megan Boothe, M.A., CCC-SLP
- Edward Mack Boren, DC
- Megan Barker Botts, FNP-BC
- Catherine S Bowden, O.D.
- Bowers Emergency Services Inc
- Tiffany Seymore Bowers, LPN
- William Marc Bowers, DMD
- Stephen A Bowie, D.M.D.
- David Michael Boyer, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.