Individual provider Active NPI

David M Bowden, M.D.

  • Ophthalmology Physician
  • Easley, SC
National Provider Identifier
1871563544
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
16036 Issued in SC
Practice address
220 S Pendleton St
Easley, SC 29640-3048
Phone
(864) 271-3354
NPI assigned
Jan 25, 2006
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LL9220MedicaidSC
2645860003OtherSCCIGNA PROVIDER NUMBER
4385116OtherSCAETNA PROVIDER NUMBER
180018449OtherSCMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100112000520 SC Practitioner - Ophthalmology 7810889698 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16036SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jervey Eye Group, PA Ophthalmology CurrentSince Feb 10, 2020 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.

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

Sources for this page

Verify at the official NPI Registry.