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

Mr. Clarence Marvin Bishop, SURGICALASSISTANT

Individual provider Surgical Physician Assistant · NPI 1912134792

Mr. Clarence Marvin Bishop, SURGICALASSISTANT is a Surgical Physician Assistant in Bowie, Maryland. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

5505 Wrights Endeavor Dr
Bowie, MD 20720-3383
Phone: (301) 805-2260
Fax: (301) 805-2260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1912134792
Entity typeIndividual (Type 1)
GenderMale
Credentials SURGICALASSISTANT
Sole proprietorYes
NPI enumeratedJune 18, 2009
Last updated in NPPESJune 18, 2009

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