Active NPI
David W Bowers, MD
- Family Medicine Physician
- Leesport, PA
National Provider Identifier
1881754711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD022369E
- Practice address
- 5471B Pottsville Pike
Leesport, PA 19533-8633 - Phone
- (610) 916-1050
- NPI assigned
- Dec 11, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD022369E | PA | Primary |
Addresses
Primary practice location
5471B Pottsville Pike
Leesport, PA 19533-8633
Mailing address
PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-0799
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009046260004 | Medicaid | PA | |
| 181365 | Other | PA | HIGHMARK BLUE SHIELD |
| 50065833 | Other | PA | CAPITAL BLUE CROSS |
| 50035017 | Other | PA | CAPITAL BLUE CROSS |
| 50050016 | Other | PA | CAPITAL BLUE CROSS |
| 50066335 | Other | PA | CAPITAL BLUE CROSS |
| P006120 | Other | PA | GATEWAY HEALTH PLAN |
| 50066320 | Other | PA | CAPITAL BLUE CROSS |
| 50041082 | Other | PA | CAPITAL BLUE CROSS |
| 50066334 | Other | PA | CAPITAL BLUE CROSS |
| 1085331 | Other | PA | AETNA HMO |
| 50066332 | Other | PA | CAPITAL BLUE CROSS |
| 5021073 | Other | PA | AETNA NON-HMO |
| 010033150 | Other | PA | RAILROAD MEDICARE |
| 50065828 | Other | PA | CAPITAL BLUE CROSS |
| 50066326 | Other | PA | CAPITAL BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1881754711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13579",
"city": "READING",
"state": "PA",
"postal_code": "196123579",
"telephone_number": "484-628-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5471B POTTSVILLE PIKE",
"city": "LEESPORT",
"state": "PA",
"postal_code": "195338633",
"telephone_number": "610-916-1050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "DAVID",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD022369E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009046260004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "181365",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50065833",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50035017",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50050016",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50066335",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "P006120",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50066320",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50041082",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50066334",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1085331",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50066332",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON-HMO",
"identifier": "5021073",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "010033150",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50065828",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50066326",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leesport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.