DR. BRADLEY JOHN BOWLES (NPI# 1922458892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922458892 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY JOHN BOWLES |
| Credential | M.D. |
| Practice Address |
3635 Vista At Grand Boulevard Saint Louis MO 63110-4271 |
| Mailing Address |
5333 Timberline Place Dr Saint Louis MO 63128-4271 |
| Practice Telephone | 4802993123 |
| Mailing Telephone | 4802993123 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
2016014723 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
3635 VISTA AT GRAND BOULEVARD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-4271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598700684 | Raana J Ponstingl | Emergency Medicine | 3635 Vista At Grand Boulevard, Saint Louis, MO 63110 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376801548 | Matthew Raymond Abate | Surgery | 10012 Kennerly Rd Ste 305, Saint Louis, MO 63128-2197 | 2012-04-25 |
| 1518992429 | Ayaz A Malik | Surgery | 1035 Bellevue Ave Ste 212, Saint Louis, MO 63117-1846 | 2006-07-11 |
| 1083687859 | Vidal T Sheen | Surgery | 11144 Tesson Ferry Rd, Suite 100, Saint Louis, MO 63123-6965 | 2006-02-10 |
| 1770145401 | Brian Patrick Sullivan | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-07-02 |
| 1467947382 | Momodou L Jammeh | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 | 2018-06-22 |
| 1861912529 | Katherine Marie Holzem | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2017-06-23 |
| 1962852178 | Brandon D Downing | Surgery | 660 S Euclid Ave, Campus Box 8109, 5103a Queeny Tower, Saint Louis, MO 63110-1010 | 2016-06-18 |
| 1093078115 | John Westley Ohman | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2012-06-22 |
| 1093946873 | Suaiman Syed Shoab | Surgery | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2009-07-28 |
| 1851525190 | Mohamed Adel Zayed | Surgery | 4921 Parkview Pl Ste 8a, Ste 8a, Saint Louis, MO 63110-1032 | 2009-05-14 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
Please comment or provide details below to improve the information on DR. BRADLEY JOHN BOWLES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.