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NPI Code Detail

MEDICARE: BRIAN L. BOWYER M.D.

MEDICARE: BRIAN L. BOWYER M.D.
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
12081S0010XSports Medicine (Physical Medicine & Rehabilitation) Physician35052275OH
2208100000XPhysical Medicine & Rehabilitation Physician35052275OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285680058
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN L. BOWYER M.D.
Provider Business Mailing Address
First Line : 700 ACKERMAN RD
Second Line : SUITE 395
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-947-3700
Fax Number : 614-947-3771
Provider Business Practice Location Address
First Line : 480 MEDICAL CENTER DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43210-1229
Country : US
Telephone Number : 614-293-7604
Fax Number : 614-293-3809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 03/23/2011

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