Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 32072 | AL |
N | 207X00000X | Orthopaedic Surgeon | DR.0057107 | CO |
NPI | 1003105719 |
---|---|
Provider Name | James Russell Bowman |
First Address | Birmingham, AL 35205-1248 |
Second Address | Birmingham, AL 35205-1248 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2011 |
Last Update Date | 10/08/2017 |