Provider Demographics
NPI:1164872081
Name:BOWERS, PATRICK (DO)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:
Last Name:BOWERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 TOWN WEST RD STE B-3
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03264-3428
Mailing Address - Country:US
Mailing Address - Phone:814-864-4031
Mailing Address - Fax:603-945-7110
Practice Address - Street 1:13 TOWN WEST RD STE B-3
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-3428
Practice Address - Country:US
Practice Address - Phone:603-945-8048
Practice Address - Fax:603-945-7110
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS0205832084P0800X
NH253752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOS020583OtherBUREAU OF PROFESSIONAL & OCCUPATIONAL AFFAIRS-OSTEOPATHIC PHYSICIAN & SURGEON
NHT401218343Medicaid
NH25375OtherOFFICE OF PROFESSIONAL LICENSURE AND CERTIFICATION -BOARD OF MEDICINE -PHYSICIAN