Physician Compare National (NPI:1033292024)

HEALTHCARE PROVIDER: RONNIE BOWER CRNA

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1033292024
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062514474
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070302000193
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BOWER
	Individual professional last name
Provider First Name	RONNIE
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4813 ALBEN BARKLEY DR
	Group Practice or individual's line 1 address
City	PADUCAH
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	420016774
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5027772705
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y