Active NPI
Tim Gardiner Adams Jr., MD
- Family Medicine Physician
- Bowman, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16918
- 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, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10-4211380 | Medicaid | MI | |
| 0108290702 | Other | MI | BCBS |
| 10-2784732 | Medicaid | MI | |
| 10-4104531 | Medicaid | MI | |
| 10-4104540 | Medicaid | MI | |
| 10-2716296 | Medicaid | MI | |
| 10-4211371 | Medicaid | MI | |
| 10-2796448 | Medicaid | MI | |
| 10-4104522 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 Services
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16918 | ND | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Health Care Services | Current | Accepting new patients | |
| Southwest Healthcare Services | Current | Accepting new patients | |
| Promed Healthcare | Current | Accepting new patients | |
| Beacon Medical Group Michigan Inc | Family Medicine | Current | 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
- 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.
-
- Critical Access Hospital
- Bowman, ND
- NPI 1477529030
-
dba Beacon Medical Group Michigan
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
-
dba Borgess Women's Health
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
-
- Medicare Defined Swing Bed Hospital Unit
- Bowman, ND
- NPI 1518068949
-
dba Southwest Medical Clinic RHC
- Rural Health Clinic/Center
- Bowman, ND
- NPI 1891893624
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bowman, ND
- NPI 1477529030
-
dba CHI St. Alexius Health
- General Acute Care Hospital
- Bismarck, ND
- NPI 1306832654
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.