MEDICARE: DR. MICHAEL BOWEN D.P.M.

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	213ES0103X	Foot & Ankle Surgery Podiatrist	016005558	IL
2	213E00000X	Podiatrist	016005558	IL
3	213ES0103X	Foot & Ankle Surgery Podiatrist	0103301202	VA
4	213E00000X	Podiatrist	0103301202	VA

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	:	1871807248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL BOWEN D.P.M.

Provider Business Mailing Address
First Line	:	3310 FALL HILL AVE
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-3000
Country	:	US
Telephone Number	:	540-373-4602
Fax Number	:	540-310-0100

Provider Business Practice Location Address
First Line	:	3310 FALL HILL AVE
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-3000
Country	:	US
Telephone Number	:	540-373-4602
Fax Number	:	540-310-0100

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

Provider Enumeration Date	:	07/28/2010
Last Update Date	:	01/30/2026

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Directions to “ DR. MICHAEL BOWEN D.P.M.” Practice Location

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