Individual provider Active NPI

Tim Gardiner Adams Jr., MD

  • Family Medicine Physician
  • Bowman, ND
National Provider Identifier
1023096880
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16918 Issued in ND
Practice address
802 2ND St NW
Bowman, ND 58623-4483
Phone
(701) 523-5555
Fax
(701) 523-7107
NPI assigned
Jan 3, 2006
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301405797 MI
Family Medicine Physician 207Q00000X 16918 ND Primary

Addresses

Primary practice location

802 2ND St NW
Bowman, ND 58623-4483

Mailing address

802 2ND St NW
Bowman, ND 58623-4483
Phone (701) 523-5555

Other practice location 1

345 N State St
Caro, MI 48723-1537
Phone (989) 672-5151

Other practice location 2

401 N Hooper Rd
Caro Community Hospital
Caro, MI 48723
Phone (989) 673-3151

Other identifiers 9

IdentifierTypeStateIssuer
10-4211380MedicaidMI
0108290702OtherMIBCBS
10-2784732MedicaidMI
10-4104531MedicaidMI
10-4104540MedicaidMI
10-2716296MedicaidMI
10-4211371MedicaidMI
10-2796448MedicaidMI
10-4104522MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, ND2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080119000107 MI Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Internal Medicine 8022199728 Reassigns benefits to 1 organization
I20201221000353 ND Practitioner - Family Practice 8022199728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwesthealthcare ServicesGroup PAC ID 3173512704, shared by 5 NPIs, 13 clinicians

Practice addresses (Care Compare)

802 2ND St NW
Bowman, ND 58623-4469
Phone (701) 523-5555

802 2ND St NW
Bowman, ND 58623-4483

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16918NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Health Care Services CurrentSince Dec 15, 2020 Accepting new patients
Southwest Healthcare Services Current Accepting new patients
Promed Healthcare CurrentSince Jul 1, 2020 Accepting new patients
Beacon Medical Group Michigan Inc Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Southwest Healthcare Services Past Accepting new patients
Southwest Healthcare Services Past Accepting new patients

Locations

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

802 2nd St NW
Bowman, ND 58623
Phone (701) 523-3214

802 2nd St NW
Ste 1
Bowman, ND 58623
Phone (701) 523-5555

Interoperability endpoints

  • Direct secure messaging: tadams@swhealthcare.securechart.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1023096880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 2ND ST NW",
            "city": "BOWMAN",
            "state": "ND",
            "postal_code": "586234483",
            "telephone_number": "701-523-5555",
            "fax_number": "701-523-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 2ND ST NW",
            "city": "BOWMAN",
            "state": "ND",
            "postal_code": "586234483",
            "telephone_number": "701-523-5555",
            "fax_number": "701-523-7107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 N State St",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487231537",
            "country_code": "US",
            "telephone_number": "989-672-5151",
            "fax_number": "989-672-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 N Hooper Rd",
            "address_2": "Caro Community Hospital",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "48723",
            "country_code": "US",
            "telephone_number": "989-673-3151",
            "fax_number": "989-673-5508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "TIM",
        "middle_name": "GARDINER",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301405797",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "16918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-4211380",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0108290702",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-2784732",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-4104531",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-4104540",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-2716296",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-4211371",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-2796448",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-4104522",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowman, ND

Sources for this page

Verify at the official NPI Registry.