Tim Gardiner Adams Jr., MD
Individual provider Active NPI Family Medicine Physician · Bowman, ND
NPI 1023096880 · NPPES record last updated Feb 3, 2026
Key facts
- NPI
- 1023096880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 16918 (ND)
- Practice address
- 802 2ND St NW
Bowman, ND 58623-4483 - Phone
- (701) 523-5555
- Fax
- (701) 523-7107
- NPI assigned
- Jan 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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
- Southwest Healthcare Services
- CHI St Alexius Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI, ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080119000107 | MI | Practitioner - Emergency Medicine |
8022199728 | Reassigns benefits to 1 organization |
| I20201221000353 | ND | Practitioner - Family Practice | 8022199728 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301405797 | MI | 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 | |
| Ascension Medical Group Promed | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301405797 | MI | |
| Family Medicine Physician | 207Q00000X | 16918 | ND | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10-2716296 | Medicaid | MI | |
| 10-2784732 | Medicaid | MI | |
| 10-4211380 | Medicaid | MI | |
| 10-4211371 | Medicaid | MI | |
| 0108290702 | Other | MI | BCBS |
| 10-2796448 | Medicaid | MI | |
| 10-4104522 | Medicaid | MI | |
| 10-4104531 | Medicaid | MI | |
| 10-4104540 | Medicaid | MI |
Other providers in Bowman, ND
- Able Inc
- Bonnie J. Anderson
- Bachmeier Chiropractic
- Dixie Jean Bachmeier
- Jeanette Bagley
- Syeda Sana Bischoff
All providers in Bowman, ND · Family Medicine Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.