Provider Demographics
NPI:1992720106
Name:BOWEN, ROBERT BURMAN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BURMAN
Last Name:BOWEN
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:PO BOX 1667
Mailing Address - Street 2:947 S THREE NOTCH ST
Mailing Address - City:ANDALUSIA
Mailing Address - State:AL
Mailing Address - Zip Code:36420
Mailing Address - Country:US
Mailing Address - Phone:334-222-6055
Mailing Address - Fax:334-222-6077
Practice Address - Street 1:947 S THREE NOTCH ST
Practice Address - Street 2:
Practice Address - City:ANDALUSIA
Practice Address - State:AL
Practice Address - Zip Code:36420-5231
Practice Address - Country:US
Practice Address - Phone:334-222-6055
Practice Address - Fax:334-222-6077
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00027531207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D76429Medicare UPIN