Elizabeth Yun Bowman, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

7050 Air Depot Blvd
Tinker AFB, OK 73145-8716

Phone

(405) 582-6665

Fax

(405) 736-3619

NPI assigned

Apr 23, 2013

Last updated

Mar 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1154765022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 AIR DEPOT BLVD",
            "city": "TINKER AFB",
            "state": "OK",
            "postal_code": "731458716",
            "telephone_number": "405-582-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 AIR DEPOT BLVD",
            "city": "TINKER AFB",
            "state": "OK",
            "postal_code": "731458716",
            "telephone_number": "405-582-6665",
            "fax_number": "405-736-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "ELIZABETH",
        "middle_name": "YUN",
        "name_prefix": "Ms.",
        "credential": "IDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.navy.mil",
            "affiliation": "N",
            "endpointDescription": "TPU NORVA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1683 Gilbert St",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235112731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jocelyn Marie Barton, PH.D.
• Philip M Beck, D.O
• Mackenzie Rebecca Berry, DO
• Riana R Berry, M.D.
• Alexsa Billups, MSW
• Erin Nicole Brack, D.O.
• Shannon Dawn Brewer, DOCTOR OF PHARMACY
• Alisha Lynn Bright, DVM
• Stephanie Brushett, AU.D.
• Jamie Burks

• Independent Duty Corpsman in Tinker AFB, OK
• Providers in Tinker AFB, OK by specialty
• Independent Duty Corpsman in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.