Healthcare Provider Details
I. General information
NPI: 1972825834
Provider Name (Legal Business Name): BOWEN HEFLEY RHODES STEWART ORTHOPEDICS, PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/19/2010
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4300 LANDERS RD
NORTH LITTLE ROCK AR
72117-2525
US
IV. Provider business mailing address
5220 NORTHSHORE DR
NORTH LITTLE ROCK AR
72118-5297
US
V. Phone/Fax
- Phone: 501-771-1600
- Fax: 501-955-2252
- Phone: 501-663-6455
- Fax: 501-663-4877
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | MC1434 |
| License Number State | AR |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207XS0106X |
| Taxonomy | Orthopaedic Hand Surgery Physician |
| License Number | MC1434 |
| License Number State | AR |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207XS0114X |
| Taxonomy | Adult Reconstructive Orthopaedic Surgery Physician |
| License Number | MC1434 |
| License Number State | AR |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207XX0004X |
| Taxonomy | Orthopaedic Foot and Ankle Surgery Physician |
| License Number | MC1434 |
| License Number State | AR |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207XX0005X |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| License Number | MC1434 |
| License Number State | AR |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | MC1434 |
| License Number State | AR |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | MC1434 |
| License Number State | AR |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363AS0400X |
| Taxonomy | Surgical Physician Assistant |
| License Number | MC1434 |
| License Number State | AR |
VIII. Authorized Official
Name: DR.
WILLIAM
S
BOWEN
Title or Position: PRESIDENT
Credential: MD
Phone: 501-663-6455