MEDICARE: JAMES WILLIAM BOWLES 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
1	207W00000X	Ophthalmology Physician	0101028780	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558372169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES WILLIAM BOWLES M.D.

Provider Business Mailing Address
First Line	:	400 WESTHAMPTON STA
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23226-3330
Country	:	US
Telephone Number	:	804-287-4200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2015 WATERSIDE RD
Second Line	:
City	:	PRINCE GEORGE
State	:	VA
Zip	:	23875-1265
Country	:	US
Telephone Number	:	804-733-7300
Fax Number	:	807-733-7390

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	02/14/2012

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