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Bradley Edward Bowen

Ophthalmology

Allopathic & Osteopathic Physicians

8 N Pointe Ct, Greensboro, NC 27408-3187

PECOS Enrollment

This provider is enrolled in PECOS as BRADLEY BOWEN.

Based on the most recent information from CMS, provider Bradley Edward Bowen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1093006892
Provider Type
Individual
Full Name
Bowen, Bradley Edward
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
4/27/2011
Last Updated
6/22/2015

Contact Information

Practice Location

8 N Pointe Ct, Greensboro, NC 27408-3187

(336) 274-4626

Unlisted Fax

Mailing Location

4529 Princess Dr, Winston Salem, NC 27127-6791

(828) 734-2446

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207W00000X Primary	Description Ophthalmology Allopathic & Osteopathic Physicians	License 2015-01156 North Carolina

Bradley Edward Bowen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Lyles, Graham Warner

Spencer, Michael Antonio

Weaver, Christopher

Young, William O

Pediatric Ophthalmology Associates, P.A.

Tanner, Michael C.

Pediatric Opthalmology Assoc Pa

Sethi, Shashi Kumar

Mccuen, Christine Lee

Hecker Ophthalmology Pa