| Kristin Daveen Bowman, DO | |
|
122 12th Street Ext, Princeton, WV 24740-2352 | |
| (304) 487-7726 | |
| (304) 431-5283 |
| Full Name | Kristin Daveen Bowman |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 20 Years |
| Location | 122 12th Street Ext, Princeton, West Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992923783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2291 (West Virginia) | Secondary |
| 207R00000X | Internal Medicine | 0102209226 (Virginia) | Secondary |
| 208M00000X | Hospitalist | 2291 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Princeton Community Hospital | Princeton, WV | Hospital |
| Stonerise Princeton | Princeton, WV | Nursing home |
| Bland County Nursing & Rehabilitation Center | Bastian, VA | Nursing home |
| Westwood Center | Bluefield, VA | Nursing home |
| Maples Nursing Home | Bluefield, WV | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Princeton Community Hospital Assn. Inc. | 3678482221 | 173 |
| Eventus Premier Healthcare - West Virginia Llc | 7719417815 | 3 |
| Eventus Premier Healthcare Llc | 6305381013 | 106 |
| Eventus Wh Mid-atlantic Care Llc | 8921534744 | 82 |
| Entity Name | Greenbrier Emergency Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568401461 PECOS PAC ID: 2668377359 Enrollment ID: O20031205000043 |
| Entity Name | Princeton Community Hospital Assn. Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093917643 PECOS PAC ID: 3678482221 Enrollment ID: O20031211000436 |
| Entity Name | Eventus Premier Healthcare - West Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497576417 PECOS PAC ID: 7719417815 Enrollment ID: O20250204003455 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Daveen Bowman, DO 913 Heatherwood Rd, Bluefield, WV 24701-4232 Ph: (304) 881-1040 | Kristin Daveen Bowman, DO 122 12th Street Ext, Princeton, WV 24740-2352 Ph: (304) 487-7726 |