Individual provider Active NPI

Bowen Stewart Parsons, M.D.

  • Psychiatry Physician
  • Portland, OR
National Provider Identifier
1881769172
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD18028 Issued in OR
Practice address
909 SW Saint Clair Ave
Portland, OR 97205-1300
Phone
(503) 805-8652
Fax
(503) 246-7195
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD18028 OR Primary

Addresses

Primary practice location

909 SW Saint Clair Ave
Portland, OR 97205-1300

Mailing address

3403 NW Thurman St
Portland, OR 97210-1228
Phone (503) 805-8652

Other identifiers 1

IdentifierTypeStateIssuer
052261MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20120210000020 OR Practitioner - Psychiatry 2567629074 Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tulane University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

909 SW Saint Clair Ave
Portland, OR 97205-1300
Phone (503) 246-7195

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18028ORMDMechanotherapist
MD18028ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Charles G. Bellville, MD, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881769172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 NW THURMAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972101228",
            "telephone_number": "503-805-8652",
            "fax_number": "503-246-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SW SAINT CLAIR AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051300",
            "telephone_number": "503-805-8652",
            "fax_number": "503-246-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "BOWEN",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD18028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052261",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.