TYLER JOSEPH BOWLING PA-C
NPI 1891232807
Physician Assistant - Surgical in Mesa, AZ

Q: What is Tyler Bowling's NPI number?

The NPI number for Tyler Bowling is 1891232807. It was assigned to this individual provider in the NPPES registry on January 27, 2017.

Q: What is Tyler Bowling's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Bowling was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since January 27, 2017PECOS EnrolledAccepts Medicare Assignment

2945 S DOBSON RD, MESA, AZ 85202(480) 969-4138(480) 969-0630 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 23, 2023, Jun 2, 2020, Jan 27, 2017 (3 updates tracked since 2017).

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About Tyler Joseph Bowling Pa-c NPPES

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

TYLER JOSEPH BOWLING PA-C (NPI 1891232807) is an individual surgical provider in Mesa, Arizona, licensed in Arizona (6662) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Charleston, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1891232807

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameTYLER JOSEPH BOWLINGCredential: PA-C

Location Address2945 S DOBSON RDMesa, AZ 85202-7941

Mailing Address9300 Medical Plaza Dr Ste BCharleston, SC 29406-9334 · (843) 764-1730 · Fax (843) 764-1731

Phone(480) 969-4138

Fax(480) 969-0630

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJanuary 27, 2017

Last NPPES UpdateMarch 23, 20233 updates tracked since enumeration

NPPES CertifiedMarch 23, 2023

✔ NPI 1891232807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in AZ · 6662✔ Licensed in SC · 3547

Also ListedPhysician AssistantTaxonomy 363A00000X · License 3547 (SC)

2945 S DOBSON RD, Mesa, AZ 85202

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Secondary Practice Location 1

Location 19300 Medical Plaza Dr Ste BCharleston, SC 29406-9334 · Phone (843) 764-1730 · Fax (843) 764-1731

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.Insurance ›

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

Tyler Joseph Bowling Pa-c 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 ID4082990445

PECOS Enrollment IDI20170419001472

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.

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.

J. GREG RULA M.D.

Surgery