Provider Demographics
NPI:1487730768
Name:BOWLBY, ADAIR M (MD)
Entity type:Individual
Prefix:
First Name:ADAIR
Middle Name:M
Last Name:BOWLBY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 35100
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59107-5100
Mailing Address - Country:US
Mailing Address - Phone:406-238-2500
Mailing Address - Fax:
Practice Address - Street 1:201 YELLOWSTONE AVE
Practice Address - Street 2:
Practice Address - City:CODY
Practice Address - State:WY
Practice Address - Zip Code:82414-9313
Practice Address - Country:US
Practice Address - Phone:307-527-7561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-28
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY7069A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY312886OtherWY BCBS PIN
MT0140140OtherMT MDCD PIN
WY119800900OtherWY MDCD PIN
WY925161041459OtherPREFERRED ONE PIN
WY312886OtherWY BCBS PIN
WYW10243Medicare PIN
WY1153260002Medicare PIN
WY925161041459OtherPREFERRED ONE PIN
WY119800900OtherWY MDCD PIN