Healthcare Provider Details

I. General information

NPI: 1861679953
Provider Name (Legal Business Name): BARRINGTON H. BOWSER, JR., M.D., PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2008
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 MONUMENT AVE SUITE E
RICHMOND VA
23226-1452
US

IV. Provider business mailing address

5500 MONUMENT AVE SUITE E
RICHMOND VA
23226-1452
US

V. Phone/Fax

Practice location:
  • Phone: 804-440-8425
  • Fax: 804-440-8427
Mailing address:
  • Phone: 804-440-8425
  • Fax: 804-440-8427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101042472
License Number StateVA

VIII. Authorized Official

Name: STEVEN F SHIELDS
Title or Position: BILLING AGENT
Credential:
Phone: 804-282-9133