Gerald Bowman, PTA, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH14343 Issued in FL

Practice address

3802 Murrell Rd
Rockledge, FL 32955-4741

Phone

(321) 877-2090

NPI assigned

Jun 7, 2017

Last updated

May 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Functionally Fit Fitness Center, Inc

  • Physical Medicine & Rehabilitation Physician
  • Rockledge, FL
  • NPI 1740796895

  Chiropractor

  Medicare reassignment NPD Authorized official
• Partners in Community Care, LLC

  dba BrevardPICC

  • Primary Care Clinic/Center
  • Rockledge, FL
  • NPI 1700412814
  Medicare reassignment NPD
• Functionally Fit Chiropractic, Inc.

  • Chiropractor
  • Rockledge, FL
  • NPI 1679391635
  NPD Authorized official

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1043749799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407976",
            "telephone_number": "305-543-0133",
            "fax_number": "321-349-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 MURRELL RD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554741",
            "telephone_number": "321-877-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "GERALD",
        "name_prefix": "Mr.",
        "credential": "PTA, DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14343",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA28500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "1043749799",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Norman Boucher, DC
• Shondell M Bouie, MD
• Melissa Nicole Bowen, PA
• Lucille Pearl Bowles
• Ann R Bowley, PSYS
• Jennifer Lynn Bowman, M.S. CCC-SLP
• Ryan A. Boyer, ATC
• Kathryn Ann Bradley, IBCLC, CD06
• Kristen Branch
• Barrie Oliver Branson

• Chiropractor in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.

Verify at the official NPI Registry.