Active NPI
John C Bowman, M.D.
- Internal Medicine Physician
- Jonesboro, AR
National Provider Identifier
1114148137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E-8656
- Practice address
- 225 E Jackson Ave
Jonesboro, AR 72401-3119 - Phone
- (870) 207-1630
- Fax
- (870) 207-6581
- NPI assigned
- May 1, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 19738 | MS | |
| Internal Medicine Physician | 207R00000X | E-8656 | AR | Primary |
Addresses
Primary practice location
225 E Jackson Ave
Jonesboro, AR 72401-3119
Mailing address
225 E Jackson Ave
Jonesboro, AR 72401-3119
Phone (870) 207-1630
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-8656 | AR | MD | Internal Medicine Physician |
| 19738 | MS | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404172800000",
"number": "1114148137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E JACKSON AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013119",
"telephone_number": "870-207-1630",
"fax_number": "870-207-6581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E JACKSON AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013119",
"telephone_number": "870-207-1630",
"fax_number": "870-207-6581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2014-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "19738",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-8656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.