Active NPI
Renee Lee Bowling
- Internal Medicine Physician
- Hattiesburg, MS
National Provider Identifier
1891886453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12536
- Practice address
- 231 Methodist Hospital Blvd
Hattiesburg, MS 39402-1297 - Phone
- (601) 296-3530
- Fax
- (601) 296-3535
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12536 | MS | Primary |
Addresses
Primary practice location
231 Methodist Hospital Blvd
Hattiesburg, MS 39402-1297
Mailing address
101 Cotton CRK
Hattiesburg, MS 39402-7614
Phone (601) 579-6933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121010000428 | MS | Order and Referring Only - Internal Medicine | 2264681089 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12536 | MS | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891886453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 COTTON CRK",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394027614",
"telephone_number": "601-579-6933",
"fax_number": "601-579-6933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 METHODIST HOSPITAL BLVD",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021297",
"telephone_number": "601-296-3530",
"fax_number": "601-296-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLING",
"first_name": "RENEE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "12536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- 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.