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

Rodney Bowen

Individual provider Physician Assistant · NPI 1629499082

Rodney Bowen is a Physician Assistant in South Boston, Virginia. Qualified in 2013, 13 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
13
Licensed in
VA
In the registry since
2014
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Practice location Address checks out

2204 Wilborn Ave
South Boston, VA 24592-1645
Phone: (434) 738-8586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110004458 (VA)

Record details

NPI number1629499082
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 2, 2014
Last updated in NPPESJanuary 2, 2014
Mailing address2204 Wilborn Ave, South Boston, VA 24592-1645

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in South Boston