Physician Compare National (NPI:1659478303)

HEALTHCARE PROVIDER: LAURENCE ROBERT BOWER III 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	1659478303
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395659940
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20031118000568
	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	LAURENCE
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	128 W BANDERA RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 4
	Group Practice or individual's line 2 address
City	BOERNE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	780062905
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8303310610
	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