Active NPI
John H Bowen, M.D.
- Family Medicine Physician
- Lenoir, NC
National Provider Identifier
1972543841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25852
- Practice address
- 1041 Morganton Blvd SW
Suite 200
Lenoir, NC 28645-5605 - Phone
- (828) 991-4660
- Fax
- (828) 991-4659
- NPI assigned
- Jun 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25852 | NC | Primary |
Addresses
Primary practice location
1041 Morganton Blvd SW
Suite 200
Lenoir, NC 28645-5605
Mailing address
1041 Morganton Blvd SW
Suite 200
Lenoir, NC 28645-5605
Phone (828) 991-4660
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17080 | Other | NC | BCBS |
| 1972543841 | Medicaid | NC | |
| 7917080 | Medicaid | NC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518480000000",
"number": "1972543841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 MORGANTON BLVD SW",
"address_2": "SUITE 200",
"city": "LENOIR",
"state": "NC",
"postal_code": "286455605",
"telephone_number": "828-991-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 MORGANTON BLVD SW",
"address_2": "SUITE 200",
"city": "LENOIR",
"state": "NC",
"postal_code": "286455605",
"telephone_number": "828-991-4660",
"fax_number": "828-991-4659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "JOHN",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2018-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "25852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "17080",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972543841",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7917080",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lenoir, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.