Physician Compare National (NPI:1093808826)

HEALTHCARE PROVIDER: JOHN W BOWMAN MD

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

Individual Professional Information
NPI	1093808826
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3779550702
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110214000809
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BOWMAN
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	W
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	EMERGENCY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	EMERGENCY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	4810 WHITESPORT CIRCLE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 105
	Group Practice or individual's line 2 address
City	HUNTSVILLE
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	358017419
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	010131
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CRESTWOOD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	010012
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	DEKALB REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	010039
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HUNTSVILLE HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y