Healthcare Provider Details

I. General information

NPI: 1649231606
Provider Name (Legal Business Name): CHRISTOPHER EDWARD BOWMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2006
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3752 TEAYS VALLEY RD
HURRICANE WV
25526-9553
US

IV. Provider business mailing address

1100 GROSSCUP AVE
DUNBAR WV
25064-3120
US

V. Phone/Fax

Practice location:
  • Phone: 304-757-3131
  • Fax: 304-760-6173
Mailing address:
  • Phone: 304-768-8811
  • Fax: 304-768-4072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number19283
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number19283
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: