Neurological Surgery

Brain and spine care you can trust, from a neurosurgeon who listens

Board-certified neurosurgeon in Austin with 18 years of experience and more than 4,000 procedures — focused on the least-invasive path back to the life you want.

4,000+
Procedures
18
Years of experience
James Bowen
AetnaBlue Cross Blue ShieldCignaUnitedHealthcareHumanaMedicare
James Bowen
About us

About Dr. Bowen

Dr. James Bowen is a board-certified, fellowship-trained neurosurgeon specializing in minimally invasive brain and spine surgery. For nearly two decades he has helped patients across Central Texas move past chronic pain and neurological conditions and get back to the things they love. His approach is simple: an accurate diagnosis first, then the least-invasive treatment that can actually solve the problem. Many of the patients he sees never need an operation at all — and for those who do, he favors techniques that mean smaller incisions, less time in the hospital, and a faster recovery. Dr. Bowen trained at some of the most respected programs in the country and has performed more than 4,000 procedures. His research on minimally invasive spine surgery has helped shape how the procedure is taught to the next generation of surgeons. Above all, he believes patients deserve a clear explanation, honest options, and a plan built around their goals — not a rushed appointment.
Minimally invasive spine surgery
Brain & skull base tumors
Cerebrovascular surgery
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Services

The best quality service you can get

Minimally invasive spine surgery

Smaller incisions, less muscle disruption, and a faster recovery than traditional open surgery.

Brain & skull base tumors

Precise removal guided by modern intraoperative imaging and navigation.

Cerebrovascular surgery

Treatment for aneurysms, AVMs, and other vascular conditions of the brain.

Spinal fusion & disc repair

Modern techniques to stabilize the spine and relieve nerve compression.

Trigeminal neuralgia

Microvascular and minimally invasive options for facial nerve pain.

Second opinions

A clear, unhurried review of your imaging and options before any decision.

Virtual Consultation

Connect with a user-friendly telehealth visit.

Easy schedulingOnline
Secure & privateHIPAA
Same-week visits24/7
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Conditions

Conditions we treat

Herniated disc

Spinal stenosis

Sciatica

Brain tumors

Cervical radiculopathy

Trigeminal neuralgia

Degenerative disc disease

Spondylolisthesis

Brain aneurysm

Chronic back & neck pain

Credentials

Education & training

Stanford University

B.S., Biology — Undergraduate · 1997–2001

Johns Hopkins University School of Medicine

Doctor of Medicine (MD) · 2001–2005

Barrow Neurological Institute

Residency, Neurological Surgery · 2005–2011
Affiliations

Hospital affiliations

SD

St. David's Medical Center

AS

Ascension Seton Medical Center Austin

TS

Texas Spine & Brain Institute

AA

American Association of Neurological Surgeons

Recognition

Awards & honors

2024

Texas Super Doctors

Spine Surgery

2023

Patients’ Choice Award

Top-rated by patients

2022

Top Doctor — Austin Monthly

Neurological Surgery

2021

Castle Connolly Top Doctor

Regional honoree

Research

Research & publications

Outcomes in minimally invasive spine surgery. Journal of Neurosurgery: Spine, 2024. Intraoperative imaging in brain tumor resection. Neurosurgery, 2023. Return to activity after endoscopic discectomy. The Spine Journal, 2022. Long-term results of microvascular decompression for trigeminal neuralgia. World Neurosurgery, 2021.
Testimonials

What our patients say

Dr. Bowen took the time to explain everything and never rushed me. After my surgery I’m finally pain-free and back to hiking.
Maria G.Spine surgery patient
I got three opinions and Dr. Bowen was the only one who walked me through a non-surgical plan first. It worked.
James R.Herniated disc
Calm, clear, and genuinely kind. The whole team made a scary situation feel manageable.
Priya S.Brain tumor patient
Minimally invasive surgery meant I was home the next day and back to work in two weeks. Incredible.
Daniel K.Cervical radiculopathy

What to expect

Your first visit starts with a thorough review of your history and imaging, an exam, and a clear conversation about what’s going on and what your options are. You’ll leave with a written plan and a direct way to reach our team with questions.
FAQ

Frequently asked questions

Do I need a referral to be seen?

No — you can book a consultation directly with our office, though we’re happy to coordinate with your primary care doctor.

Will I definitely need surgery?

Not necessarily. Many conditions improve with non-surgical care, and Dr. Bowen always starts with the least-invasive option that can work.

Do you accept insurance?

We accept most major plans. Call our office and we’ll verify your coverage before your visit.

How long is recovery after minimally invasive spine surgery?

It varies by procedure, but many patients go home the same or next day and return to light activity within a couple of weeks.

Can I get a second opinion?

Absolutely. Bring your imaging and records and Dr. Bowen will give you an honest review of your options.

What should I bring to my first appointment?

A photo ID, your insurance card, a list of medications, and any recent MRI or CT imaging on a disc or via your portal.

Learn

Patient education

Preparing for spine surgery

What to expect before, during, and after a minimally invasive spine procedure — and how to prepare for the best recovery.

Understanding a herniated disc

How a herniated disc causes pain, when imaging is needed, and which treatments actually help.

When to see a neurosurgeon

Red-flag symptoms that warrant a specialist evaluation, and what a first visit looks like.

Coverage

Insurance accepted

AetnaBlue Cross Blue ShieldCignaUnitedHealthcareHumanaMedicareTricareOscar Health
Visit us

Locations & hours

Austin — Main Office

3501 Mills Ave, Suite 200, Austin, TX 78731

(512) 555-0147

Mon – Thu 8:00 – 17:00 Fri 8:00 – 14:00

Round Rock

201 Seton Pkwy, Suite 140, Round Rock, TX 78665

(512) 555-0162

Mon, Wed, Fri 8:30 – 16:30

Appointments

Book online now

Request a time that works for you — our office responds within one business day.

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