Individual provider Active NPI

Braden Michael Bowles, PA-C

  • Medical Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1194074948
Registry record updated Jul 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA22471 Issued in CA
Practice address
8327 Brimhall Rd Ste 702
Bakersfield, CA 93312-4051
Phone
(661) 535-8990
Fax
(855) 804-5393
NPI assigned
Sep 6, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA22471 CA Primary

Addresses

Primary practice location

8327 Brimhall Rd Ste 702
Bakersfield, CA 93312-4051

Mailing address

8327 Brimhall Rd Ste 702
Bakersfield, CA 93312-4051

Other practice location 1

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 869-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20121204000437 CA Practitioner - Physician Assistant 0547412298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
22471CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-California CurrentSince Mar 5, 2024 Accepting new patients
Cep America-California CurrentSince Mar 6, 2024 Accepting new patients

Locations

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562457600000",
    "number": "1194074948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8327 BRIMHALL RD STE 702",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933124051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8327 BRIMHALL RD STE 702",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933124051",
            "telephone_number": "661-535-8990",
            "fax_number": "855-804-5393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2615 Chester Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "93301",
            "country_code": "US",
            "telephone_number": "661-869-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "BRADEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-06",
        "last_updated": "2019-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA22471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.