Active NPI
Derek M Bowers, DC PLLC
- Chiropractor
- Livonia, MI
National Provider Identifier
1023020336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DB004839
- Practice address
- 13982 Merriman Rd
Livonia, MI 48154-4259 - Phone
- (734) 425-5454
- Fax
- (734) 425-8779
- NPI assigned
- Aug 13, 2006
- Reactivated
- Oct 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DB004839 | MI | Primary |
Addresses
Primary practice location
13982 Merriman Rd
Livonia, MI 48154-4259
Mailing address
13982 Merriman Rd
Livonia, MI 48154-4259
Phone (734) 425-5454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0H22814 | Other | MI | BCBSM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13982 Merriman Rd
Livonia, MI 48154-4259
Phone (734) 425-5454
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DB004839 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derek M Bowers DC PLLC | Current | Accepting new patients |
Locations
13982 Merriman Rd
Livonia, MI 48154
Phone (734) 425-5454
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.
-
- Medical Specialty Clinic/Center
- Livonia, MI
- NPI 1487216123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1023020336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13982 MERRIMAN RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481544259",
"telephone_number": "734-425-5454",
"fax_number": "734-425-8779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13982 MERRIMAN RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481544259",
"telephone_number": "734-425-5454",
"fax_number": "734-425-8779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "DEREK",
"middle_name": "M",
"credential": "DC PLLC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2019-10-10",
"deactivation_date": "2019-08-21",
"reactivation_date": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "DB004839",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0H22814",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.