Individual provider Active NPI

Marialison Bowling, M.D.

  • Psychiatry Physician
  • Little Rock, AR
National Provider Identifier
1952765174
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E-12700 Issued in AR
Practice address
4 Executive Center CT
Little Rock, AR 72211-4487
Phone
(501) 448-0060
NPI assigned
Apr 13, 2016
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X BP10056556 TX
Psychiatry Physician 2084P0800X E-12700 AR Primary

Addresses

Primary practice location

4 Executive Center CT
Little Rock, AR 72211-4487

Mailing address

PO Box 56649
Little Rock, AR 72215-6649
Phone (501) 224-1690

Other practice location 1

1210 Wolfe St
Little Rock, AR 72202-4618
Phone (501) 364-5150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20200428000680 AR Practitioner - Psychiatry 9830424472 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Southwestern Medical School at Dallas, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Psychiatric Clinic, Professional AssociationGroup PAC ID 9931180411, 18 clinicians

Practice addresses (Care Compare)

4 Executive Ctr CT
Little Rock, AR 72211-4487
Phone (501) 448-0060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10056556TXMDAdult Mental Health Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Psychiatric Clinic, Professional Association Psychiatry CurrentSince Jan 3, 2023 Accepting new patients
Reding & Leach MD PLLC Psychiatry CurrentSince Oct 1, 2024 Accepting new patients
Arkansas Health Group Psychiatry CurrentSince Mar 2, 2020 Accepting new patients
Arkansas Health Group CurrentSince Mar 2, 2020 Accepting new patients
Arkansas Health Group Past Accepting new patients

Locations

706 S Walton Blvd
Ste 2
Bentonville, AR 72712
Phone (417) 691-6969

3395 Highway 5 N
Ste 300
Bryant, AR 72019
Phone (501) 508-2600

685 Shelby Trl
Ste 104
Conway, AR 72034
Phone (501) 255-8100

2566 E Joyce Blvd
Ste 2
Fayetteville, AR 72703
Phone (479) 935-1000

1501 S Waldron Rd
Ste 208
Fort Smith, AR 72903
Phone (479) 401-2123

801 Osler Dr
Ste B
Jonesboro, AR 72401
Phone (501) 932-7500

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

11501 Huron Ln
Ste 5
Little Rock, AR 72211
Phone (501) 904-4762

4 Executive Center Ct
Little Rock, AR 72211
Phone (501) 448-0060

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

1001 Schneider Dr
Malvern, AR 72104
Phone (501) 332-1000

4810 W Commercial Dr
North Little Rock, AR 72116
Phone (501) 255-9147

5306 W Village Pkwy
Ste 2
Rogers, AR 72758
Phone (479) 463-9533

6850 Hilltop Rd
Ste 170
Shawnee, KS 66226
Phone (866) 951-4325

Interoperability endpoints

  • Direct secure messaging: marialison.bowling.1@21565.direct.athenahealth.com
  • Direct secure messaging: marialisonbowling@arpc.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1952765174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56649",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722156649",
            "telephone_number": "501-224-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EXECUTIVE CENTER CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114487",
            "telephone_number": "501-448-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Wolfe St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722024618",
            "country_code": "US",
            "telephone_number": "501-364-5150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWLING",
        "first_name": "MARIALISON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "BP10056556",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-12700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.