Brooke Bowlware, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1738 Issued in OK

Practice address

3325 S Boulevard Ste 169
Edmond, OK 73013-4808

Phone

(405) 990-5553

NPI assigned

Apr 21, 2017

Last updated

Apr 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Brooke Boatman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1083149603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 SW 23RD ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730995119",
            "telephone_number": "405-990-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 S BOULEVARD STE 169",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134808",
            "telephone_number": "405-990-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLWARE",
        "first_name": "BROOKE",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "1738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "BOATMAN",
            "credential": "R.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Calye Morgan Bowen, LPC-S
• Sunni Gail Bowen, ANP
• Amy Catherine Bowers, LPC
• Natalie Renee Bowes
• Heather B Bowlan, M.ED.
• Alicia Marie Box
• Austin David Box, MS
• McKenna Wayne Box
• Paige Box
• Chloe Boyd, RBT

• Registered Dietitian in Edmond, OK
• Providers in Edmond, OK by specialty
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.