Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Thomas Otis Bowen IV, PA-C

Individual provider Physician Assistant · NPI 1619607264

Thomas Otis Bowen IV, PA-C is a Physician Assistant in Gilbert, Arizona. Graduated from University of Tennessee, Hsc, College of Medicine in 2021, 5 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Arizona and Georgia.

Years since qualifying
5
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
AZ, GA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165
Phone: (480) 256-6444
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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 12326 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 9172 (AZ)

Record details

NPI number1619607264
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 15, 2022
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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