John W Bowman MD LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10852 Issued in AL

Legal business name

JOHN W BOWMAN MD LLC

Practice address

4810 Whitesport Cir SW
Suite 105
Huntsville, AL 35801-7419

Phone

(256) 429-5390

Fax

(256) 429-5933

NPI assigned

Dec 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. John W Bowman, MD

Title

Owner/Physician

Phone

(256) 505-6826

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1114358710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8678 EDGEHILL DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023786",
            "telephone_number": "256-505-6826",
            "fax_number": "256-582-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 WHITESPORT CIR SW",
            "address_2": "SUITE 105",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017419",
            "telephone_number": "256-429-5390",
            "fax_number": "256-429-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W BOWMAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "256-505-6826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "AL",
            "license": "10852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1093808826",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• General Practice Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.