Individual provider Active NPI

Parker Bowen, DC

  • Chiropractor
  • Wyoming, MI
National Provider Identifier
1073229654
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401608 Issued in MI
Practice address
4415 Byron Center Ave SW
Wyoming, MI 49519-4800
Phone
(616) 534-2944
NPI assigned
Jan 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14388 FL
Chiropractor 111N00000X 2301401608 MI Primary

Addresses

Primary practice location

4415 Byron Center Ave SW
Wyoming, MI 49519-4800

Mailing address

4415 Byron Center Ave SW
Wyoming, MI 49519-4800
Phone (616) 534-2944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230315001166 FL Practitioner - Chiropractic 1658745617 Reassigns benefits to 1 organization
I20250311002652 MI Practitioner - Chiropractic 1658745617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halliday Health Solutions, L.L.C.Group PAC ID 7911092242, 2 clinicians
Parker Bowen DC PLLCGroup PAC ID 6305327875, 2 clinicians

Practice addresses (Care Compare)

4415 Byron Ctr Ave SW
Wyoming, MI 49519-4800
Phone (616) 534-2944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14388FLMDChiropractor
2301401608MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Parker Bowen DC PLLC Chiropractor CurrentSince Jan 17, 2026 Accepting new patients
Halliday Health Solutions, L.L.C. Chiropractor CurrentSince Dec 30, 2024 Accepting new patients
Ormond Beach Chiropractic LLC Chiropractor CurrentSince Aug 25, 2023 Accepting new patients

Locations

570 Memorial Cir
Ste 100
Ormond Beach, FL 32174
Phone (386) 236-9765

4415 Byron Center Ave SW
Ofc 2
Wyoming, MI 49519

4415 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 249-0159

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1073229654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 BYRON CENTER AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194800",
            "telephone_number": "616-534-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 BYRON CENTER AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194800",
            "telephone_number": "616-534-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "PARKER",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-26",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14388",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.