Healthcare Provider Details

I. General information

NPI: 1861666273
Provider Name (Legal Business Name): BARRINGTON H BOWSER JR MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2008
Last Update Date: 04/16/2008
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 Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number0101042472
License Number StateVA

VIII. Authorized Official

Name: DR. BARRINGTON HERNDON BOWSER
Title or Position: INTERNAL MEDICINE
Credential: M.D
Phone: 804-440-8425