Organization Active NPI

Bowerman, LLC

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
National Provider Identifier
1013242965
Registry record updated Oct 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BOWERMAN, LLC
Practice address
500 N Walker Ave
Oklahoma City, OK 73102-1619
Phone
(405) 290-7542
Fax
(405) 290-7576
NPI assigned
Oct 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul Bowerman
Title
Owner
Phone
(580) 290-7542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

500 N Walker Ave
Oklahoma City, OK 73102-1619

Mailing address

PO Box 95435
Oklahoma City, OK 73143-5435
Phone (405) 290-7542

National Provider Directory

National Provider Directory
Tax ID family
Bowerman LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

500 N Walker Ave
Oklahoma City, OK 73102
Phone (405) 290-7542

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255132800000",
    "number": "1013242965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95435",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731435435",
            "telephone_number": "405-290-7542",
            "fax_number": "405-290-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N WALKER AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021619",
            "telephone_number": "405-290-7542",
            "fax_number": "405-290-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWERMAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-10",
        "last_updated": "2009-10-10",
        "status": "A",
        "authorized_official_last_name": "BOWERMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-290-7542"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.