Active NPI
James L Bowers, DO
- Family Medicine Physician
- Kirksville, MO
National Provider Identifier
1063493799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R8552
- Practice address
- 1415 E Scott St
Kirksville, MO 63501-3868 - Phone
- (660) 665-1767
- Fax
- (660) 665-1767
- NPI assigned
- Nov 9, 2005
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R8552 | MO | Primary |
Addresses
Primary practice location
1415 E Scott St
Kirksville, MO 63501-3868
Mailing address
1415 E Scott St
Kirksville, MO 63501-3868
Phone (660) 665-1767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3978 | Other | MO | BNDD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8552 | MO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1063493799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 E SCOTT ST",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635013868",
"telephone_number": "660-665-1767",
"fax_number": "660-665-1767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 E SCOTT ST",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635013868",
"telephone_number": "660-665-1767",
"fax_number": "660-665-1767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "JAMES",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2023-03-07",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R8552",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BNDD",
"identifier": "3978",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kirksville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.