MEDICARE: BRUCE A. BOWDEN 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	174400000X	Specialist	19819	WA

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

General Provider Information

NPI Number	:	1437115854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRUCE A. BOWDEN MD

Provider Business Mailing Address
First Line	:	2075 BARKLEY BLVD
Second Line	:	SUITE 220
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-6614
Country	:	US
Telephone Number	:	360-647-0220
Fax Number	:	360-734-7588

Provider Business Practice Location Address
First Line	:	2075 BARKLEY BLVD
Second Line	:	SUITE 220
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-6614
Country	:	US
Telephone Number	:	360-647-0220
Fax Number	:	360-734-7588

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

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	07/08/2007

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Directions to “ BRUCE A. BOWDEN MD” Practice Location

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