Individual provider Active NPI

Ronald W. Bowen, D.O.

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1184698912
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0197 Issued in TX
Practice address
5525 S Staples St Ste B1
Corpus Christi, TX 78411-5371
Phone
(361) 985-9503
Fax
(361) 985-6981
NPI assigned
Feb 16, 2006
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0197 TX Primary

Addresses

Primary practice location

5525 S Staples St Ste B1
Corpus Christi, TX 78411-5371

Mailing address

PO Box 181197
Corpus Christi, TX 78480-1197
Phone (361) 985-9503

Other identifiers 1

IdentifierTypeStateIssuer
127859004MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050825000269 TX Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Preventive Medicine 2466483839 Practice locations: Corpus Christi, TX

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine, Preventive Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5309 Williams Dr
Suite B
Corpus Christi, TX 78411-4638
Phone (361) 985-9503

5525 S Staples
Suite B 1
Corpus Christi, TX 78411-5371

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions21
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Danniece Bobeche MSN WHNP PLLC CurrentSince Jun 16, 2024 Accepting new patients
Groundswell, LLC CurrentSince Dec 1, 2025 Accepting new patients
S E Nowotny DO PA Family Medicine Past Accepting new patients
Antonio J.N. Lykos D.O., P.a Family Medicine Past Accepting new patients
Antonio Guzman M.D.,.P.a. Past Accepting new patients

Locations

5525 S Staples St
Ste B1
Corpus Christi, TX 78411
Phone (361) 985-0906

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1184698912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181197",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784801197",
            "telephone_number": "361-985-9503",
            "fax_number": "361-985-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 S STAPLES ST STE B1",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115371",
            "telephone_number": "361-985-9503",
            "fax_number": "361-985-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "RONALD",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127859004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.