MR. SCOTT EDWARD BOWERMAN NPI 1588372114

NPI Information

  • NPI: 1588372114
  • Provider Name: MR. SCOTT EDWARD BOWERMAN
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1320 MAPLEWOOD AVE
    RONCEVERTE, WV
    ZIP 24970
  • Phone: (304) 793-2220

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NPI Details

MR. Scott Edward Bowerman is a medical physician assistant in Ronceverte, WV. MR. Scott Edward Bowerman NPI is 1588372114. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1320 MAPLEWOOD AVE
RONCEVERTE, WV
ZIP 24970-016
Phone: (304) 793-2220
Fax: (304) 793-2277

The NPI 1588372114 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/14/2022 and was last updated on 7/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2363AM0700XPhysician AssistantMedicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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