Active NPI
Jeffery Bowman, DO
- Family Medicine Physician
- Grand Junction, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33664
- Practice address
- 525 North Ave
Grand Junction, CO 81501-7512 - Phone
- (970) 424-5030
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33664 | CO | Primary |
Addresses
Primary practice location
525 North Ave
Grand Junction, CO 81501-7512
Mailing address
3198 F Rd
Grand Junction, CO 81504-4032
Phone (970) 434-4891
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01336643 | Medicaid | CO | |
| BOU3618 | Other | CO | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
525 N Ave
Grand JCT, CO 81501-7512
Phone (970) 424-5030
Hospital & facility affiliations
- Elite Care at Home
- Community Hospital
- Intermountain Health St. Mary'S Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 20 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33664 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Junction Family Medicine PC | Family Medicine | Current | Accepting new patients |
Locations
525 North Ave
Ste 103
Grand Junction, CO 81501
525 North Ave
Grand Junction, CO 81501
Phone (970) 424-5030
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Grand Junction, CO
- NPI 1013102912
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1497723407
-
- Home Health Agency
- Grand Junction, CO
- NPI 1053657148
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1619742806
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1821647801
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1699716027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1013950435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3198 F RD",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815044032",
"telephone_number": "970-434-4891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 NORTH AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815017512",
"telephone_number": "970-424-5030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "JEFFERY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "33664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01336643",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "BOU3618",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.