Active NPI
Charles Edward Bowers, MD
- Hematology & Oncology Physician
- Spartanburg, SC
National Provider Identifier
1942204334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 21412
- Practice address
- 380 Serpentine Dr
Spartanburg, SC 29303-3066 - Phone
- (864) 560-7050
- Fax
- (864) 560-7057
- NPI assigned
- Jun 13, 2005
- Last updated
- Aug 6, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 21412 | SC | |
| Hematology & Oncology Physician | 207RH0003X | 21412 | SC | Primary |
Addresses
Primary practice location
380 Serpentine Dr
Spartanburg, SC 29303-3066
Mailing address
380 Serpentine Dr
Suite 200
Spartanburg, SC 29303-3066
Phone (864) 560-7050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89063Y9 | Medicaid | NC | |
| T55570 | Medicaid | SC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21412 | SC | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oncology and Hematology Associates of South Carolina, LLC | Specialist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cancer Centers of the Carolinas
- Specialist
- Greenville, SC
- NPI 1619972742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281052800000",
"number": "1942204334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 SERPENTINE DR",
"address_2": "SUITE 200",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033066",
"telephone_number": "864-560-7050",
"fax_number": "864-560-7057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 SERPENTINE DR",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033066",
"telephone_number": "864-560-7050",
"fax_number": "864-560-7057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "CHARLES",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2010-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "21412",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "SC",
"license": "21412",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89063Y9",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T55570",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.