Active NPI
Jon C. Bowersox, M.D.
- Trauma Surgery Physician
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 63678-20
- Practice address
- 700 S Park St
Madison, WI 53715-1830 - Phone
- (608) 251-6100
- Fax
- (608) 260-2976
- NPI assigned
- Apr 21, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | G72140 | CA | |
| Vascular Surgery Physician | 2086S0129X | G72140 | CA | |
| Trauma Surgery Physician | 2086S0127X | 63678-20 | WI | Primary |
Addresses
Primary practice location
700 S Park St
Madison, WI 53715-1830
Mailing address
1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-5335
Other practice location 1
1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-5335
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164488946 | Medicaid | WI | |
| 2690655 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | jbowersox434043@direct-ehr-ssmhc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Southern California Keck School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000
824 Illinois Ave
Stevens Point, WI 54481-3112
Phone (715) 344-1600
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63678-20 | WI | MD | Trauma Surgery Physician |
Practice roles
Locations
29980 Network Pl
Chicago, IL 60673
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318
700 S Park St
Ste A
Madison, WI 53715
Phone (608) 260-2900
700 S Park St
Madison, WI 53715
Phone (608) 260-2900
1040 Division St
Mauston, WI 53948
Phone (608) 847-5000
1050 Division St
Mauston, WI 53948
Phone (608) 847-6161
143 S Gibson St
Medford, WI 54451
Phone (715) 748-2121
135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100
2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932
3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
824 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888
Interoperability endpoints
- jon.bowersox@direct.milebluff.com
- jbowersox350267@direct.aspirus.org
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
- Multi-Specialty Clinic/Center
- Neenah, WI
- NPI 1730126392
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
Vascular Surgery
-
- Rural Health Clinic/Center
- Gilman, WI
- NPI 1285703173
-
- Critical Access Hospital
- Medford, WI
- NPI 1619079597
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
- Emergency Medicine Physician
- Mauston, WI
- NPI 1609912005
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Medicare Defined Swing Bed Hospital Unit
- Medford, WI
- NPI 1427105923
-
- Rural Health Clinic/Center
- Prentice, WI
- NPI 1710066584
-
- Rural Health Clinic/Center
- Eagle River, WI
- NPI 1689339319
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Practice Physician
- Stevens Point, WI
- NPI 1184082745
Hospital
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
- General Acute Care Hospital
- Mauston, WI
- NPI 1568487411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1164488946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1531 ESPLANADE",
"city": "CHICO",
"state": "CA",
"postal_code": "959263310",
"telephone_number": "530-332-5335",
"fax_number": "530-893-6889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S PARK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151830",
"telephone_number": "608-251-6100",
"fax_number": "608-260-2976"
}
],
"practiceLocations": [
{
"address_1": "1531 Esplanade",
"address_purpose": "LOCATION",
"city": "Chico",
"state": "CA",
"postal_code": "959263310",
"country_code": "US",
"telephone_number": "530-332-5335",
"fax_number": "530-893-6889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWERSOX",
"first_name": "JON",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "CA",
"license": "G72140",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "G72140",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "WI",
"license": "63678-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164488946",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2690655",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "700 S Park St",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbowersox434043@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "jbowersox434043@direct-ehr-ssmhc.com",
"address_1": "700 S Park St",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.