Provider Demographics
NPI:1386866614
Name:BOWLING, CHRISTOPHER BARRETT (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:BARRETT
Last Name:BOWLING
Suffix:
Gender:M
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:PO BOX 55310
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255-5310
Mailing Address - Country:US
Mailing Address - Phone:205-731-9701
Mailing Address - Fax:
Practice Address - Street 1:1521 11TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-3503
Practice Address - Country:US
Practice Address - Phone:205-996-2770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL28647207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL132271Medicaid
AL132280Medicaid
AL051120721OtherBCBS
AL132220Medicaid
MS05682707Medicaid
AL132277Medicaid
AL051120720OtherBCBS
AL051120719OtherBCBS
AL132273Medicaid
AL051120713OtherBCBS
AL051120716OtherBCBS
AL132277Medicaid