Provider Demographics
NPI:1710787544
Name:BOWLING, PERCY LEE III
Entity type:Individual
Prefix:
First Name:PERCY
Middle Name:LEE
Last Name:BOWLING
Suffix:III
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3675 HARDING DR # NONE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-1427
Mailing Address - Country:US
Mailing Address - Phone:614-266-0373
Mailing Address - Fax:614-266-0373
Practice Address - Street 1:3675 HARDING DR # NONE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-1427
Practice Address - Country:US
Practice Address - Phone:614-266-0373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2278P4000X, 347C00000X
NC347C00000X
OH347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes347C00000XTransportation ServicesPrivate Vehicle
No2278P4000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPatient TransportGroup - Single Specialty