Provider Demographics
NPI:1508810029
Name:SOWELL, JAMES RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RICHARD
Last Name:SOWELL
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 1:2202 NIGHTHAWK RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-9107
Mailing Address - Country:US
Mailing Address - Phone:828-719-8736
Mailing Address - Fax:866-309-5149
Practice Address - Street 1:2202 NIGHTHAWK RIDGE CT
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-9107
Practice Address - Country:US
Practice Address - Phone:828-719-8736
Practice Address - Fax:866-309-5149
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC97007672084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1177GOtherBCBS
NC891177GMedicaid
P00324494OtherRAILROAD MEDICARE
NC2276478DMedicare PIN
P00324494OtherRAILROAD MEDICARE