Provider Demographics
NPI:1720745896
Name:BOWDEN MEDICAL EQUIPMENT, LLC
Entity Type:Organization
Organization Name:BOWDEN MEDICAL EQUIPMENT, LLC
Other - Org Name:BOWDEN MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRADLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:659-658-4080
Mailing Address - Street 1:4800 COGSWELL AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35125-2727
Mailing Address - Country:US
Mailing Address - Phone:659-658-4080
Mailing Address - Fax:659-658-4081
Practice Address - Street 1:4800 COGSWELL AVE STE 207
Practice Address - Street 2:
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35125-2727
Practice Address - Country:US
Practice Address - Phone:659-658-4080
Practice Address - Fax:659-658-4081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-23
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies