1972796050 NPI number — ARTHUR J. BOWMAN JR MD PC

Table of content: (NPI 1972796050)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972796050 NPI number — ARTHUR J. BOWMAN JR MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARTHUR J. BOWMAN JR MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972796050
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/01/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
51 PERFORMANCE DR
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
WEYMOUTH
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02189-3104
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-337-5555
Provider Business Mailing Address Fax Number:
781-335-6047

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
51 PERFORMANCE DR
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
WEYMOUTH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02189-3104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-337-5555
Provider Business Practice Location Address Fax Number:
781-335-6047
Provider Enumeration Date:
08/22/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BOWMAN
Authorized Official First Name:
ARTHUR
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
781-337-5555

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 090048 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 171341 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 34753 . This is a "FALLON" identifier . This identifiers is of the category "OTHER".
  • Identifier: B20367601 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: C27056 . This is a "MEDICARE PTAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 114382 . This is a "ONE HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2046067 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 711053 . This is a "TUFTS HEALTH PLAN" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 0004572 . This is a "NHP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4234538 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: C27056 . This is a "BLUE CROSS BLUE SHEILD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".