Individual provider Active NPI

Jordan David Bowling, M.D.

  • Surgery Physician
  • Lincoln, NE
National Provider Identifier
1114216603
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
32138 Issued in NE
Practice address
575 S 70TH St Ste 435
Lincoln, NE 68510-2463
Phone
(402) 730-0706
NPI assigned
Apr 5, 2011
Last updated
Mar 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 32138 NE Primary

Addresses

Primary practice location

575 S 70TH St Ste 435
Lincoln, NE 68510-2463

Mailing address

4301 Waterbury LN
Lincoln, NE 68516-1519
Phone (402) 730-0706

Other names 1

  • Dr. Jordan David Bowling Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EMR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200602000091 NE Practitioner - General SurgeryPractitioner - Other (Physician) 5193146090 Reassigns benefits to 5 organizations
I20240226003738 NH Practitioner - General SurgeryPractitioner - Other (Physician) 5193146090

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Howard University College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians
Beatrice Community Hospital and Health Center IncGroup PAC ID 1951208222, shared by 6 NPIs, 65 clinicians
Cherry County HospitalGroup PAC ID 5698686012, shared by 6 NPIs, 24 clinicians

Practice addresses (Care Compare)

2700 W Norfolk Ave
Norfolk, NE 68701-4438

47452 268 Ave
Suite C
Humphrey, NE 68642-5178
Phone (402) 923-0150

4800 Hospital Pkwy
Beatrice, NE 68310-6906
Phone (402) 228-3344

510 N Green St
Valentine, NE 69201-1932
Phone (402) 376-2525

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.37 of 100Reported as group
Quality
81.18
Promoting interoperability
99
Improvement activities
40
Cost
81.76

Merit-based Incentive Payment System (MIPS)

Final score
80.77 of 100Reported as group
Quality
67.03
Promoting interoperability
96
Improvement activities
40
Cost
72.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32138NEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry County Hospital Single Specialty Current Accepting new patients
Cherry County Hospital Current Accepting new patients
Faith Regional Physician Services, LLC Single Specialty CurrentSince May 24, 2024 Accepting new patients
Faith Regional Physician Services, LLC Single Specialty CurrentSince May 24, 2024 Accepting new patients
Cherry County Hospital Single Specialty CurrentSince Apr 28, 2025 Accepting new patients

Locations

47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150

2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194

510 N Green St
Valentine, NE 69201
Phone (402) 376-3770

Interoperability endpoints

  • Direct secure messaging: jbowling276761@direct.nebraskamed.com

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1114216603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 WATERBURY LN",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161519",
            "telephone_number": "402-730-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S 70TH ST STE 435",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102463",
            "telephone_number": "402-730-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLING",
        "first_name": "JORDAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "32138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "575 S 70th St Ste 435",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685102463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "BOWLING",
            "middle_name": "DAVID",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.