Jon N Bowie, D. M. D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

4905 Issued in AL

Practice address

829 S University Blvd
Mobile, AL 36609-7873

Phone

(251) 343-1794

NPI assigned

Jan 4, 2006

Last updated

Feb 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jon Bowie, D. M. D., P. C.

  • Dental Clinic/Center
  • Mobile, AL
  • NPI 1891809919
  NPD (past) Authorized official

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1043298698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 S UNIVERSITY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366097873",
            "telephone_number": "251-343-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 S UNIVERSITY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366097873",
            "telephone_number": "251-343-1794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23210 US Highway 98 Ste D1",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365323397",
            "country_code": "US",
            "telephone_number": "251-343-1974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWIE",
        "first_name": "JON",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D. M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AL",
            "license": "4905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009985270",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty Marie Bowen, LICSW, PHD
• Rodney Shane Bowen, R.PH.
• Travis Perry Bowen, DO
• Elizabeth Owen Bowers
• Maryam Bowers, PA-C
• Kerri Gilbert Bowie, D.M.D
• Ashleigh Bowman
• Michael Dewitt Bowman, M.D.
• Beverly E Boyd, M.D.
• Ethan Boyd

• Periodontics in Mobile, AL
• Providers in Mobile, AL by specialty
• Periodontics in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.