Individual provider Active NPI

Derek M Bowers, DC PLLC

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1023020336
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DB004839 Issued in MI
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

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0H22814OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081209000680 MI Practitioner - Chiropractic 0345301339 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
DB004839MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Derek M Bowers DC PLLC CurrentSince Sep 1, 2019 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.

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.

Verify at the official NPI Registry.