Provider Demographics
NPI:1235130121
Name:BOWYER, PATRICIA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ANN
Last Name:BOWYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 COX RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-9263
Mailing Address - Country:US
Mailing Address - Phone:804-968-5700
Mailing Address - Fax:804-217-7991
Practice Address - Street 1:2051 WEST ST
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3006
Practice Address - Country:US
Practice Address - Phone:443-603-0758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0056076207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD039591OtherJHHC PROVIDER NUMBER
MD7517141OtherAETNA FEE FOR SERVICE
P18620OtherBCBS POS
MD606708-03OtherCAREFIRST MD RENDERING
MD7605-0054OtherCAREFIRST BLUECHOICE
MD2108634OtherMAMSI SPECIALIST
MD2516868OtherCIGNA PIN
MDP15598OtherCAREFIRST MPOS
P8650001OtherBCBS DC
MD8108634OtherMAMSI PRIMARY CARE
MD080185863OtherRR MEDICARE
MDP15598OtherCAREFIRST MPOS
MD8108634OtherMAMSI PRIMARY CARE
P18620OtherBCBS POS
MD8108634OtherMAMSI PRIMARY CARE
60670804OtherBCBS MD
P8650001OtherBCBS DC
MD7517141OtherAETNA FEE FOR SERVICE