Provider Demographics
NPI:1245228667
Name:BOWMAN, JAMES HENRY III (DPM)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:HENRY
Last Name:BOWMAN
Suffix:III
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 11TH AVE S
Mailing Address - Street 2:SUITE 402
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-4731
Mailing Address - Country:US
Mailing Address - Phone:205-933-9595
Mailing Address - Fax:205-933-5250
Practice Address - Street 1:401 WEST 3RD STREET
Practice Address - Street 2:
Practice Address - City:SYLACAUGA
Practice Address - State:AL
Practice Address - Zip Code:35150
Practice Address - Country:US
Practice Address - Phone:205-933-9595
Practice Address - Fax:205-933-5250
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0124213E00000X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-91734OtherST. VINCENT'S HOSPITAL (BLUE CROSS LOC NUMBER)
AL515-49895OtherCOOSA VALLEY MEDICAL CENTER (BLUE CROSS LOC.NUMBER)
AL515-49622OtherBIRMINGHAM OUTPT SURGERY CENTER (BLUE CROSS LOC.NUMBER)
ALC08447018OtherEMDEON SUBMITTER ID
AL968248OtherUNITED HEALTHCARE
AL515-93484OtherSYLACAUGA HEALTH CARE & REHAB (SNF) (BC LOC. NUMBER)
AL697685OtherUHC GROUP
AL000008463Medicare PIN
AL1942489232Medicare PIN
AL968248OtherUNITED HEALTHCARE
ALU19320Medicare UPIN
ALC08447018OtherEMDEON SUBMITTER ID
AL697685OtherUHC GROUP
AL515-49622OtherBIRMINGHAM OUTPT SURGERY CENTER (BLUE CROSS LOC.NUMBER)
AL515-49895OtherCOOSA VALLEY MEDICAL CENTER (BLUE CROSS LOC.NUMBER)
AL1245228667Medicare PIN
AL1497957500Medicare PIN