Elijah Jamison Bowers

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038013362 Issued in IL

Practice address

2965 13TH Ave
Rock Island, IL 61201-2814

Phone

(309) 793-4858

NPI assigned

Apr 24, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

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.

• Magnolia Chiropractic LLC

  • Chiropractor
  • Saint Robert, MO
  • NPI 1891466165
  NPD Authorized official

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632528000000",
    "number": "1023672045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 VFW MEMORIAL DR STE 1",
            "city": "SAINT ROBERT",
            "state": "MO",
            "postal_code": "655844793",
            "telephone_number": "573-677-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 13TH AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612012814",
            "telephone_number": "309-793-4858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "571 Vfw Memorial Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Saint Robert",
            "state": "MO",
            "postal_code": "65584",
            "country_code": "US",
            "telephone_number": "573-677-6070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "ELIJAH",
        "middle_name": "JAMISON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney G Boersma, LCSW
• Paul Bolger
• Kaitlyn Marie Bonner, DPT
• Andrew William Boswell, D.C.
• Joseph Anthony Bowen, HEALTH TECHNICIAN
• Judy Bowers
• Martha A Bowles, MA
• Kathryn Bowman, EDS
• Samantha Bowman
• Sondra Braden, CTRS

• Chiropractor in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.