Individual provider Active NPI

Richard G Bowling, DPM

  • Podiatrist
  • Port Arthur, TX
National Provider Identifier
1962409698
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1304 Issued in TX
Practice address
2501 Jimmy Johnson Blvd, #400
Port Arthur, TX 77640
Phone
(409) 729-5633
Fax
(409) 729-9760
NPI assigned
Jul 7, 2005
Reactivated
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1304 TX Primary

Addresses

Primary practice location

2501 Jimmy Johnson Blvd, #400
Port Arthur, TX 77640

Mailing address

3650 Laurel Avenue
Beaumont, TX 77707
Phone (409) 838-0346

Other identifiers 7

IdentifierTypeStateIssuer
5116373OtherTXAETNA
8778423210OtherTXUNITED HEALTHCARE
9019276OtherTXCIGNA
018836901MedicaidTX
00U60XOtherTXBCBS
15486OtherUTUTMB-CHIPS
20300OtherTXGTPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, KS, MO, WA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20110112001019 TX Practitioner - Podiatry 1658489018 Reassigns benefits to 1 organization
I20260324000219 IL Practitioner - Podiatry 1658489018 Reassigns benefits to 1 organization
I20260408000658 KS Practitioner - Podiatry 1658489018 Reassigns benefits to 1 organization
I20260507003433 MO Practitioner - Podiatry 1658489018 Reassigns benefits to 1 organization
I20260618003013 WA Practitioner - Podiatry 1658489018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians
Preferred Podiatry Group of Kansas LLCGroup PAC ID 9436583275, 10 clinicians

Practice addresses (Care Compare)

1 Teas Cir
Canadian, TX 79014-5737
Phone (806) 323-9228

1000 Patterson St
Anderson, MO 64831-7327
Phone (417) 845-3351

101 Lee Ave
Columbus, KS 66725-1021
Phone (620) 429-2134

168 N Clinton St
FL 3
Chicago, IL 60661-1425
Phone (847) 504-5000

171 SW 6TH Ave
Oak Harbor, WA 98277-2377
Phone (847) 504-5000

2003 W Hutchins PL
San Antonio, TX 78224-1368
Phone (210) 927-0800

2250 Dowlen Rd
Beaumont, TX 77706-2586
Phone (409) 866-8090

2501 S Major Dr
Beaumont, TX 77707-5018
Phone (409) 860-3500

5857 Timbergate Dr
Corpus Christi, TX 78414-4237
Phone (361) 994-0905

6410 Meadowvista Dr
Corpus Christi, TX 78414-2652
Phone (361) 985-0555

6600 9TH Ave
Port Arthur, TX 77642-6411
Phone (409) 962-5541

Merit-based Incentive Payment System (MIPS)

Final score
78.31 of 100Reported as group
Quality
74.88
Improvement activities
40
Cost
73.76

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of nail tissue8529
Removal or shaving of skin growth4293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Bone & Joint Institute, PA Podiatrist CurrentSince Feb 2, 2015 Accepting new patients
Preferred Podiatry Group PC Podiatrist CurrentSince Oct 1, 2021 Accepting new patients
Preferred Podiatry Group PC Podiatrist CurrentSince Oct 1, 2021 Accepting new patients

Locations

168 N Clinton St
Fl 3
Chicago, IL 60661
Phone (201) 856-0224

101 Lee Ave
Columbus, KS 66725
Phone (620) 429-2134

1000 Patterson St
Anderson, MO 64831
Phone (417) 845-3351

3706 Adelphi Ln
Austin, TX 78727
Phone (512) 833-9253

3650 Laurel St
Beaumont, TX 77707
Phone (409) 838-0346

3460 Dowlen Rd
Beaumont, TX 77706
Phone (409) 838-0346

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

7887 Cambridge St
Houston, TX 77054
Phone (713) 796-2777

2409 Holcombe Blvd
Houston, TX 77021
Phone (713) 741-8701

7801 N Richland Blvd
North Richlnd Hls, TX 76180
Phone (469) 609-9044

2927 Park Plaza Ln
Port Arthur, TX 77642
Phone (409) 883-3744

2501 Jimmy Johnson Blvd
Ste 400
Port Arthur, TX 77640
Phone (409) 729-5633

6600 9th Ave
Port Arthur, TX 77642
Phone (409) 962-5541

2003 W Hutchins Pl
San Antonio, TX 78224
Phone (210) 927-0800

109 N McKinney St
Sweeny, TX 77480
Phone (409) 548-3383

171 SW 6th Ave
Oak Harbor, WA 98277
Phone (360) 279-2555

Interoperability endpoints

  • Direct secure messaging: richardbowling@bbj.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1962409698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 LAUREL AVENUE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77707",
            "telephone_number": "409-838-0346",
            "fax_number": "409-839-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD, #400",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "77640",
            "telephone_number": "409-729-5633",
            "fax_number": "409-729-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLING",
        "first_name": "RICHARD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2015-02-03",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5116373",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "8778423210",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9019276",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018836901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00U60X",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTMB-CHIPS",
            "identifier": "15486",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GTPA",
            "identifier": "20300",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.