Provider Demographics
NPI:1598734741
Name:BOWLES, JAMES HAROLD JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HAROLD
Last Name:BOWLES
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2665 BROAD STREET RD
Mailing Address - Street 2:
Mailing Address - City:GUM SPRING
Mailing Address - State:VA
Mailing Address - Zip Code:23065-2185
Mailing Address - Country:US
Mailing Address - Phone:804-556-3940
Mailing Address - Fax:
Practice Address - Street 1:2884 SANDY HOOK RD
Practice Address - Street 2:
Practice Address - City:SANDY HOOK
Practice Address - State:VA
Practice Address - Zip Code:23153-2226
Practice Address - Country:US
Practice Address - Phone:804-556-3172
Practice Address - Fax:804-556-6526
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101035542207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5678366Medicaid
VA0101035542OtherSTATE LICENSE
VA045034OtherBCBS(ANTHEM)
VA045034OtherBCBS(ANTHEM)
VABO6252Medicare UPIN