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NPI Code Detail

MEDICARE: COLIN CHARLES BOWERS P.A.-C.

MEDICARE: COLIN CHARLES BOWERS P.A.-C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantMA003219LPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5P00310851OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11958616OTHERHIGHMARK BLUE SHIELD
2405197OTHERHEALTHAMERICA/HEALTHASSUR
350053199OTHERKEYSTONE HEALTH CENTRAL
450053199OTHERCAPITAL BLUE CROSS

General Provider Information

NPI Number : 1063493344
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLIN CHARLES BOWERS P.A.-C.
Provider Business Mailing Address
First Line : 801 OSTRUM ST
Second Line :
City : BETHLEHEM
State : PA
Zip : 18015-1000
Country : US
Telephone Number : 484-526-6643
Fax Number : 484-526-4658
Provider Business Practice Location Address
First Line : 2775 SCHOENERSVILLE RD
Second Line :
City : BETHLEHEM
State : PA
Zip : 18017-7307
Country : US
Telephone Number : 610-861-8080
Fax Number : 610-807-0366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 02/25/2026

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Directions to “ COLIN CHARLES BOWERS P.A.-C.” Practice Location

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