Healthcare Provider Details

I. General information

NPI: 1750024055
Provider Name (Legal Business Name): ALEXIS A BOWEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2022
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

832 PRINCETON AVE SW
BIRMINGHAM AL
35211-1320
US

IV. Provider business mailing address

4004 STONEHAVEN CIR
BIRMINGHAM AL
35244-3436
US

V. Phone/Fax

Practice location:
  • Phone: 205-206-8200
  • Fax:
Mailing address:
  • Phone: 205-206-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4351052145
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number47171
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: