Look up the most recent NPI and PECOS records

Phillip R Bowden

Specialist

Other Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as PHILLIP BOWDEN.

Based on the most recent information from CMS, provider Phillip R Bowden 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1811003635
Provider Type
Individual
Full Name
Bowden, Phillip R
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/22/2006
Last Updated
1/27/2025

Contact Information

Practice Location

1417 Monroe Ave, Memphis, TN 38104-3634

(901) 272-7200

(901) 260-5916

Mailing Location

PO Box 22403, Belfast, ME 04915-4476

(888) 402-7256

(888) 902-1099

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License 25950 Tennessee

Provider Identifiers

ID	Description	Issuer
ID 3088251	Description Medicaid	Issuer Unlisted Tennessee
ID 25950	Description Other	Issuer MEDICAL LICENSE NUMBER Tennessee

Phillip R Bowden

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Roebuck, Aletta

Coo, Audrey W

Boulos, Susie

R. Bartholomew Gibbs Md Pc

Stegman, Marc H

Kidney Specialists, P.C.

Rai, Rakesh

Orleans-Lindsay, Kodwo Kuntu

Ganguli, Sudha Nimmagadda

Zaman, Khaleda