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NPI Code Detail

MEDICARE: DR. PATRICIA ANN BOWYER M.D.

MEDICARE:  DR. PATRICIA ANN BOWYER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianD0056076MD

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11080185863OTHERMDRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1039591OTHERMDJHHC PROVIDER NUMBER
27517141OTHERMDAETNA FEE FOR SERVICE
3P18620OTHERBCBS POS
4606708-03OTHERMDCAREFIRST MD RENDERING
57605-0054OTHERMDCAREFIRST BLUECHOICE
62108634OTHERMDMAMSI SPECIALIST
72516868OTHERMDCIGNA PIN
8P15598OTHERMDCAREFIRST MPOS
9P8650001OTHERBCBS DC
108108634OTHERMDMAMSI PRIMARY CARE

General Provider Information

NPI Number : 1235130121
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICIA ANN BOWYER M.D.
Provider Business Mailing Address
First Line : 5000 COX RD
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-9263
Country : US
Telephone Number : 804-968-5700
Fax Number : 804-217-7991
Provider Business Practice Location Address
First Line : 2051 WEST ST
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3006
Country : US
Telephone Number : 443-603-0758
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 02/15/2021

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Directions to “ DR. PATRICIA ANN BOWYER M.D.” Practice Location

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