NPIMap

Individual provider Active NPI

Jill M. Owens, M.D.

  • Family Medicine Physician
  • Bradford, PA
National Provider Identifier
1104862440
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-068703-L Issued in PA
Practice address
14 N 3Rd St
Bradford, PA 16701-3335
Phone
(814) 362-6962
Fax
(814) 362-4956
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD-068703-L PA Primary

Addresses

Primary practice location

14 N 3Rd St
Bradford, PA 16701-3335

Mailing address

14 N 3Rd St
Bradford, PA 16701-3335
Phone (814) 362-6962

Other identifiers 1

IdentifierTypeStateIssuer
001797208MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040204000152 PA Practitioner - Family PracticePractitioner - Hospitalist 3173416138 Reassigns benefits to 2 organizations
I20220301000612 NY Practitioner - Family Practice 3173416138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
University of Pittsburgh School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bradford Family Medicine IncGroup PAC ID 8022901982, 4 clinicians
Ahn Hospitalist Group LTDGroup PAC ID 1153543251, 69 clinicians

Practice addresses (Care Compare)

14 N 3Rd St
Bradford, PA 16701-3335
Phone (814) 362-6962

2 W Crescent Park
Warren, PA 16365-2111
Phone (814) 726-2510

835 Hospital Rd
Indiana, PA 15701-3629
Phone (724) 357-7121

Hospital & facility affiliations

  • Warren General Hospital Hospital, Warren, PA, CCN 391319
  • Warren General Hospital Hospital, Warren, PA, CCN 390146
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
  • Olean General Hospital Hospital, Olean, NY, CCN 330103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-068703-LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bradford Family Medicine, Inc. Family Medicine CurrentSince Jan 1, 2004 Accepting new patients
Ahn Hospitalist Group, LTD CurrentSince Dec 20, 2024 Accepting new patients
Olean General Hospital Family Medicine PastSince Jul 1, 2012 Accepting new patients
Warren General Hospital Past Accepting new patients
Bradford Regional Medical Services Family Medicine Past Accepting new patients

Locations

181 Interstate Pkwy
Bradford, PA 16701
Phone (814) 362-4345

14 N 3rd St
Bradford, PA 16701
Phone (814) 362-6962

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

Interoperability endpoints

  • Direct secure messaging: drowens@bradfordfamilymedicine.medentdirect.com
  • Direct secure messaging: jbfm@directaddress.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/EBBEBA/Endpoint/EBBEBA

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1104862440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N 3RD ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013335",
            "telephone_number": "814-362-6962",
            "fax_number": "814-362-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N 3RD ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013335",
            "telephone_number": "814-362-6962",
            "fax_number": "814-362-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "JILL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD-068703-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001797208",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, PA

Sources for this page

Verify at the official NPI Registry.