NPIMap

Organization Active NPI

Ourhealth Professional Physician Group, LLC

Doing business as LiveWell Health Center- Bowman

  • Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1053957118
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLC
Doing business as
LiveWell Health Center- Bowman
Practice address
950 Reynolds Blvd BLDG 611-12
Winston Salem, NC 27105-3450
Phone
(336) 777-4786
NPI assigned
Nov 25, 2019
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Terry Layman, MD
Title
Owner
Phone
(866) 434-3255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

950 Reynolds Blvd BLDG 611-12
Winston Salem, NC 27105-3450

Mailing address

20 Winooski Falls Way
Winooski, VT 05404-2228
Phone (802) 857-0400

Other names 1

  • LiveWell Health Center- Bowman Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MH Medical Services PC10 organizations share this tax ID, including this one
Part of
MH Medical Services PC

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

950 Reynolds Blvd
Bldg 61112
Winston Salem, NC 27105
Phone (336) 777-4786

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1053957118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WINOOSKI FALLS WAY",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054042228",
            "telephone_number": "802-857-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 REYNOLDS BLVD BLDG 611-12",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271053450",
            "telephone_number": "336-777-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "LAYMAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-434-3255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LiveWell Health Center- Bowman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; 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.