Provider Demographics
NPI:1346241601
Name:BOWMAN, JENEE LEE (MD)
Entity type:Individual
Prefix:DR
First Name:JENEE
Middle Name:LEE
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 1:2000 PERIMETER PARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8442
Mailing Address - Country:US
Mailing Address - Phone:984-215-4110
Mailing Address - Fax:
Practice Address - Street 1:1041 NOELL LN
Practice Address - Street 2:SUITE 105
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-2058
Practice Address - Country:US
Practice Address - Phone:252-451-2700
Practice Address - Fax:252-451-7939
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20020152207RC0200X
NC200201052207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891327KMedicaid
NC1327KOtherBLUE CROSS BLUE SHIELD
NC0402332OtherUNITED HEALTH CARE ID
NCC04447OtherMEDCOST ID
NC1142292OtherFIRST HEALTH INS. ID
NC2180669OtherAETNA ID
NC8443061OtherCIGNA INS. ID
NCG75285Medicare UPIN
NC1142292OtherFIRST HEALTH INS. ID
NC2180669OtherAETNA ID