Active NPI
William W. Bowen MD Inc
- Orthopaedic Surgery Physician
- Willits, CA
National Provider Identifier
1033483367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G28722
- Legal business name
- WILLIAM W. BOWEN MD INC
- Practice address
- 84 Madrone St
Willits, CA 95490-4249 - Phone
- (707) 459-6855
- Fax
- (707) 459-9585
- NPI assigned
- Mar 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Bowen, MD
- Title
- Owner
- Phone
- (707) 459-6855
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G28722 | CA | Primary |
Addresses
Primary practice location
84 Madrone St
Willits, CA 95490-4249
Mailing address
84 Madrone St
Willits, CA 95490-4249
Phone (707) 459-6855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Willits, CA
- NPI 1770593386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330905600000",
"number": "1033483367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 MADRONE ST",
"city": "WILLITS",
"state": "CA",
"postal_code": "954904249",
"telephone_number": "707-459-6855",
"fax_number": "707-459-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 MADRONE ST",
"city": "WILLITS",
"state": "CA",
"postal_code": "954904249",
"telephone_number": "707-459-6855",
"fax_number": "707-459-9585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM W. BOWEN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-05",
"last_updated": "2012-03-05",
"status": "A",
"authorized_official_last_name": "BOWEN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "707-459-6855",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G28722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willits, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.