Individual provider Active NPI

Karen Elina Bowen, DO

  • Obesity Medicine (Family Medicine) Physician
  • Kernersville, NC
National Provider Identifier
1992735013
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
License
2005-01101 Issued in NC
Practice address
291 Broad St
Kernersville, NC 27284-2932
Phone
(336) 993-8181
Fax
(336) 996-9539
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200501101 NC
Obesity Medicine (Family Medicine) Physician 207QB0002X 2005-01101 NC Primary

Addresses

Primary practice location

291 Broad St
Kernersville, NC 27284-2932

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 993-8181

Other identifiers 5

IdentifierTypeStateIssuer
142X3OtherNCBCBS NC
191152OtherNCMEDCOST
7970821OtherNCAETNA
5904077MedicaidNC
808039OtherNCPARTNERS MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbowen28863@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20060901000340 NC Practitioner - Family Practice 6709880818 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Physician Services, IncGroup PAC ID 4284782210, 397 clinicians

Practice addresses (Care Compare)

1307 W Wendover Ave
Greensboro, NC 27408-8117
Phone (336) 832-3110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200501101NCMDFamily Medicine Physician
2005-01101NCMDObesity Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Forsyth Memorial Hospital, Inc. Family Medicine Current Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Aug 1, 2006 Accepting new patients
Foundation Health Systems LLC CurrentSince Nov 24, 2019 Accepting new patients
Foundation Health Systems Corp. CurrentSince Nov 24, 2019 Accepting new patients
Moses Cone Physician Services, Inc. Family Medicine CurrentSince Jun 19, 2023 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Jun 19, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 1, 2012 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Sep 1, 2012 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Family Medicine CurrentSince Aug 1, 2006 Accepting new patients
Moses Cone Physician Services, Inc. Family Medicine Current Accepting new patients
Forsyth Memorial Hospital, Inc CurrentSince Sep 1, 2012 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 1, 2012 Accepting new patients

Locations

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

1131 N Church St
Greensboro, NC 27401
Phone (336) 358-5100

1307 W Wendover Ave
Greensboro, NC 27408
Phone (336) 832-3110

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

7607 NC Highway 68 N
Ste B
Oak Ridge, NC 27310
Phone (336) 643-3378

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

2001 Todays Woman Ave
Winston Salem, NC 27105
Phone (336) 722-1818

1351 Westgate Center Dr
Winston Salem, NC 27103
Phone (336) 718-7777

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1992735013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-993-8181",
            "fax_number": "336-996-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 BROAD ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842932",
            "telephone_number": "336-993-8181",
            "fax_number": "336-996-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "KAREN",
        "middle_name": "ELINA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-10-28",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200501101",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "NC",
            "license": "2005-01101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "142X3",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "191152",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7970821",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904077",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "808039",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbowen28863@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "291 Broad St",
            "city": "Kernersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272842932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.