Provider Demographics
NPI:1881880045
Name:BOWMAN, WENDY SCARBOROUGH (MD)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:SCARBOROUGH
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5855 BREMO RD
Mailing Address - Street 2:SUITE 601
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1930
Mailing Address - Country:US
Mailing Address - Phone:804-523-9200
Mailing Address - Fax:804-716-5359
Practice Address - Street 1:5855 BREMO RD
Practice Address - Street 2:SUITE 601
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1930
Practice Address - Country:US
Practice Address - Phone:804-523-9200
Practice Address - Fax:804-716-5359
Is Sole Proprietor?:No
Enumeration Date:2007-09-21
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200400643207V00000X
VA0101242669207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
155227563OtherMEDICARE
341846OtherANTHEM