Mitcheal Blane Bowen, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO.925 Issued in AL

Practice address

409 N Cedar St
Florence, AL 35630-5405

Phone

(256) 766-3062

Fax

(256) 767-1804

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Ecm Health Group LLC

  • Obstetrics & Gynecology Physician
  • Florence, AL
  • NPI 1346588852

  AL

  Medicare reassignment NPD

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891788014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N CEDAR ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305405",
            "telephone_number": "256-766-3062",
            "fax_number": "256-767-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N CEDAR ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305405",
            "telephone_number": "256-766-3062",
            "fax_number": "256-767-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "MITCHEAL",
        "middle_name": "BLANE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO.925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0516936",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Narasimha Rao Boorgu, M.D.
• Rajesh Boorgu, M.D.
• Mary Elizabeth Borden, REGISTERED DIETITIAN
• Brandy Nicole Borrelli, PHARM.D.
• Philip George Emilio Botelho, DO
• Mary A Bowers, PHD
• Steven Gaige Bowling, DC
• Terra Lynn Box
• Cohen M Boyd, PTA
• Tanner Alan Boyd

• All providers in Florence, AL
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.