Provider Demographics
NPI:1992877203
Name:BOWMAN, ADAM S (MD)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:S
Last Name:BOWMAN
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 1:500 W 10TH ST
Mailing Address - Street 2:(CONNECTIONS COMMUNITY SUPPORT PROGRAM)
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-1422
Mailing Address - Country:US
Mailing Address - Phone:302-230-9102
Mailing Address - Fax:302-984-3329
Practice Address - Street 1:500 W 10TH ST
Practice Address - Street 2:(CONNECTIONS COMMUNITY SUPPORT PROGRAM)
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1422
Practice Address - Country:US
Practice Address - Phone:302-230-9102
Practice Address - Fax:302-984-3329
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC100072482084P0804X
DEC1-00072482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry