Individual provider Active NPI

Ryan Kendle Bowler, DVM

  • Veterinarian
  • St George, UT
National Provider Identifier
1164892782
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
9053222-2801 Issued in UT
Practice address
1067 E Tabernacle St
St George, UT 84770-3163
Phone
(435) 673-3191
Fax
(435) 627-8690
NPI assigned
Sep 25, 2015
Last updated
Nov 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 2264 NV
Veterinarian 174M00000X 9053222-2801 UT Primary

Addresses

Primary practice location

1067 E Tabernacle St
St George, UT 84770-3163

Mailing address

1735 W 540 N Apt 205
St George, UT 84770-1620
Phone (435) 619-6245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2264NVMDVeterinarian
9053222-2801UTMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1164892782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 W 540 N APT 205",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847701620",
            "telephone_number": "435-619-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 E TABERNACLE ST",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703163",
            "telephone_number": "435-673-3191",
            "fax_number": "435-627-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLER",
        "first_name": "RYAN",
        "middle_name": "KENDLE",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-25",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "NV",
            "license": "2264",
            "primary": false
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "UT",
            "license": "9053222-2801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.