JAKE BOWLING
NPI 1083174734
Radiology - Neuroradiology in Myrtle Beach, SC

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
809 82ND PKWY, MYRTLE BEACH, SC 29572(843) 848-4670 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2025, Mar 20, 2019 (2 updates tracked since 2019).

About Jake Bowling NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAKE BOWLING (NPI 1083174734) is an individual neuroradiology provider in Myrtle Beach, South Carolina, licensed in New York (308958) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2019).

NPPES Registry Identity

NPI1083174734
Entity TypeIndividualMale
Primary Taxonomy2085N0700X
Provider Legal NameJAKE BOWLING
Location Address809 82ND PKWYMyrtle Beach, SC 29572-4607
Mailing Address102 Trail Bend CtCary, NC 27513-3420
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
NPI 1083174734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0700X
License Licensed in NY · 308958
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
809 82ND PKWY, Myrtle Beach, SC 29572

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jake Bowling is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476883034
PECOS Enrollment IDI20250602001199, I20251022000594
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
809 82ND PKWY
MYRTLE BEACH, SC 29572
Emergency Medicine
809 82ND PKWY
MYRTLE BEACH, SC 29572
Nurse Practitioner
809 82ND PKWY
MYRTLE BEACH, SC 29572
Student in an Organized Health Care Education/Training Program
809 82ND PKWY
MYRTLE BEACH, SC 29572
Student in an Organized Health Care Education/Training Program
809 82ND PKWY
MYRTLE BEACH, SC 29572
Internal Medicine (Medical Oncology)
809 82ND PKWY
MYRTLE BEACH, SC 29572
Student in an Organized Health Care Education/Training Program
809 82ND PKWY
MYRTLE BEACH, SC 29572
Student in an Organized Health Care Education/Training Program
809 82ND PKWY
MYRTLE BEACH, SC 29572

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jake Bowling's NPI number?

The NPI number for Jake Bowling is 1083174734. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Jake Bowling located?

Jake Bowling practices at 809 82nd Pkwy, Myrtle Beach, SC 29572. The listed phone number is (843) 848-4670.

What is Jake Bowling's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Is Jake Bowling enrolled in Medicare?

Yes. Jake Bowling is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jake Bowling affiliated with any hospitals?

According to CMS data, Jake Bowling is affiliated with Long Island Community Hospital and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Jake Bowling was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.