MEDICARE: DR. JAMELLE R BOWERS MD

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
1	207R00000X	Internal Medicine Physician	0101234954	VA
2	207R00000X	Internal Medicine Physician	35.078005	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00283209	OTHER	VA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	188196	OTHER	VA	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1275532251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMELLE R BOWERS MD

Provider Business Mailing Address
First Line	:	8000 5 MILE RD STE 100
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-2187
Country	:	US
Telephone Number	:	513-233-6980
Fax Number	:	513-233-6983

Provider Business Practice Location Address
First Line	:	8000 5 MILE RD STE 100
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-2187
Country	:	US
Telephone Number	:	513-233-6980
Fax Number	:	513-233-6983

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	11/07/2024

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Directions to “ DR. JAMELLE R BOWERS MD” Practice Location

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