Provider Demographics
NPI:1487611125
Name:BOWMAN, VALERIE LYNN (MD, FAAP)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:LYNN
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:MD, FAAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 BREMO RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1907
Mailing Address - Country:US
Mailing Address - Phone:804-281-8222
Mailing Address - Fax:804-281-8007
Practice Address - Street 1:5801 BREMO RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1907
Practice Address - Country:US
Practice Address - Phone:804-281-8222
Practice Address - Fax:804-281-8007
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101049119173000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA236056OtherANTHEM/BCBS
VA4401181OtherAETNA
VA899741OtherALLIANCE
VA26278OtherUNITED HEALTHCARE
VA450576501OtherTRICARE/CHAMPUS
VA011895OtherCIGNA
VA1201688OtherUNITED HEALTHCARE
VA37796OtherCARENET
VAC09463OtherGROUP PTAN
VA0101049119OtherSTATE LICENSE NUMBER
VA26278OtherOPTIMA HEALTH
VA899741OtherMDIPA
VA006736211Medicaid
VA153527OtherSOUTHERN HEALTH
VA899741OtherMAMSI
VA899741OtherALLIANCE
VA37796OtherCARENET