Organization Active NPI

Richard G Bowling

  • Durable Medical Equipment & Medical Supplies
  • Port Neches, TX
National Provider Identifier
1902074941
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1304 Issued in TX
Legal business name
RICHARD G BOWLING
Practice address
3133 Saba LN
Port Neches, TX 77651-5421
Phone
(409) 729-3668
Fax
(409) 729-3670
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Mrs. Mary Beth Bowling
Title
Office Manager
Phone
(409) 729-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1304 TX Primary

Addresses

Primary practice location

3133 Saba LN
Port Neches, TX 77651-5421

Mailing address

3133 Saba LN
Port Neches, TX 77651-5421
Phone (409) 729-3668

Other identifiers 1

IdentifierTypeStateIssuer
018836901MedicaidTX

National Provider Directory

National Provider Directory

Locations

3133 Saba Ln
Port Neches, TX 77651
Phone (409) 729-3668

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1902074941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 SABA LN",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776515421",
            "telephone_number": "409-729-3668",
            "fax_number": "409-729-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 SABA LN",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776515421",
            "telephone_number": "409-729-3668",
            "fax_number": "409-729-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD G BOWLING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "BOWLING",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "409-729-3668",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018836901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Neches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.