Mary Traudt-Bowdoin, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-032115 Issued in AL

Practice address

424 Paddock LN
Montgomery, AL 36109-4625

Phone

(334) 593-0961

NPI assigned

Apr 20, 2011

Last updated

Apr 20, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Your Doctor's Office, PCGroup PAC ID 3678851409, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Your Doctor's Office, PC

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1003267899
  Medicare reassignment Care Compare group NPD
• Inpatient Consultants of Alabama, Inc

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1235238916
  Medicare reassignment NPD
• Trifecta Healthcare Services, LLC.

  dba Veterans Wellness Center of Florida

  • Pain Clinic/Center
  • Montgomery, AL
  • NPI 1255086583
  NPD (past)
• Veterans Wellness Center of Alabama LLC

  • Urgent Care Clinic/Center
  • Montgomery, AL
  • NPI 1568005056
  NPD (past)

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1184915563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 PADDOCK LANE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361094625",
            "telephone_number": "334-593-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 PADDOCK LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361094625",
            "telephone_number": "334-593-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUDT-BOWDOIN",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-032115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trammell Periodontics LLC
• Ashley Trammell, PHARMD
• Tammy Burlingame Trammell, MS CCC-SLP
• Transformative Solutions, LLC
• Shawn D. Trask, M.D
• Travel With Care LLC (Travel With Care VIP)
• Adrienne L Travis, PHARMD
• Micah Traw, ATC
• Linda D Treadwell, NP
• Terry A Treadwell, MD

• Family Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.

Verify at the official NPI Registry.