NPI 1184602963 · live from the CMS NPI Registry
Shane Bowen, MD
Emergency Medicine in Charleston, WV. National Provider Identifier 1184602963, active.
NPI record
| NPI | 1184602963 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 3200 Maccorkle Ave Se, Charleston, WV 25304 |
| Practice phone | 304-388-4170 |
| Mailing address | 501 Morris St, Charleston, WV 25301 |
| Enumerated | January 3, 2006 |
| Last updated | July 11, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine primary | 207P00000X | 18065 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.