Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jake Bowling

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083174734

Jake Bowling is a Diagnostic Radiology in Myrtle Beach, South Carolina. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2019, 7 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

809 82nd Pkwy
Myrtle Beach, SC 29572-4607
Phone: (843) 848-4670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X · Licence 308958 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083174734
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address102 Trail Bend Ct, Cary, NC 27513-3420

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations17 on file with Medicare

Other providers in Myrtle Beach