Healthcare Provider Details

I. General information

NPI: 1730823345
Provider Name (Legal Business Name): NIGEL JAMES BOWE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2022
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 HARTLEY WAY
PEARISBURG VA
24134-2471
US

IV. Provider business mailing address

213 S JEFFERSON ST
ROANOKE VA
24011-1705
US

V. Phone/Fax

Practice location:
  • Phone: 540-921-6000
  • Fax: 540-921-5233
Mailing address:
  • Phone: 540-224-5516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101288411
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number4301514272
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number4301514272
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: