Provider Demographics
NPI:1285723718
Name:BOWLES, HARVEY W (MD)
Entity type:Individual
Prefix:
First Name:HARVEY
Middle Name:W
Last Name:BOWLES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 MURPHY AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1835
Mailing Address - Country:US
Mailing Address - Phone:615-321-3511
Mailing Address - Fax:615-321-3512
Practice Address - Street 1:2201 MURPHY AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1835
Practice Address - Country:US
Practice Address - Phone:615-321-3511
Practice Address - Fax:615-321-3512
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000018704207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN621827779OtherTAX ID
TNA99765Medicare UPIN
TN3034118Medicare PIN