Brian M. Bowen, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

DP00435 Issued in OR

Practice address

1717 NE 42ND Ave
Suite 3300
Portland, OR 97213-1569

Phone

(503) 284-2000

Fax

(503) 284-2002

NPI assigned

May 15, 2007

Last updated

Aug 31, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Eastside Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Portland, OR
  • NPI 1669884003
  Authorized official Same address or phone
• Richard S Polin PC

  • Neurological Surgery Physician
  • Gresham, OR
  • NPI 1942552062
  NPD
• Pearl Foot and Ankle LLC

  • Podiatrist
  • Portland, OR
  • NPI 1346008711
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1093921975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 NE 42ND AVE",
            "address_2": "SUITE 3300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131569",
            "telephone_number": "503-284-2000",
            "fax_number": "503-284-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 NE 42ND AVE",
            "address_2": "SUITE 3300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131569",
            "telephone_number": "503-284-2000",
            "fax_number": "503-284-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "BRIAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP00435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Joy Bowder
• Elizabeth Bowe, ED.S.
• Sophia Bowe
• Ashley Bowen
• Brandin Bowen, LMT
• Connie Bowen
• Jordan Bowen
• Judith Lynn Bowen, MD
• Rachel Bowen
• Bridget M Bowens

• Foot & Ankle Surgery Podiatrist in Portland, OR
• Providers in Portland, OR by specialty
• Foot & Ankle Surgery Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.