Organization Active NPI

Boyd E. Bowman

Doing business as The Scooter Shop

  • Durable Medical Equipment & Medical Supplies
  • Sumner, WA
National Provider Identifier
1144366006
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BOYD E. BOWMAN
Doing business as
The Scooter Shop
Practice address
13701 24TH St E
Suite a 8
Sumner, WA 98390-9675
Phone
(253) 891-8100
Fax
(253) 891-8108
NPI assigned
Jan 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Boyd E. Bowman
Title
Owner
Phone
(253) 891-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X WA Primary

Addresses

Primary practice location

13701 24TH St E
Suite a 8
Sumner, WA 98390-9675

Mailing address

13701 24TH St E
Suite a 8
Sumner, WA 98390-9675
Phone (253) 891-8100

Other identifiers 1

IdentifierTypeStateIssuer
9038837MedicaidWA

Other names 1

  • The Scooter Shop Doing business as

National Provider Directory

National Provider Directory

Locations

13701 24th St E
Unit A8
Sumner, WA 98390
Phone (253) 891-8100

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144366006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 24TH ST E",
            "address_2": "SUITE A 8",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983909675",
            "telephone_number": "253-891-8100",
            "fax_number": "253-891-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 24TH ST E",
            "address_2": "SUITE A 8",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983909675",
            "telephone_number": "253-891-8100",
            "fax_number": "253-891-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYD E. BOWMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BOYD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-891-8100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9038837",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Scooter Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sumner, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.